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HEALTH ECONOMICS RESEARCH, INC. 



1.0 . / ,, ^\i'i-Z2ZZ 
C6'7) 487-0202 Fax 



UPDATING THE GEOGRAPHIC 
PRACTICE COST INDEX: 

THE PRACnCE EXPENSE GPCI 



Append ices to Final Report 



Submitted by : 

Gregory C. Pope, M.S. 
Debra A. Dayhoff, Ph.D. 
KiJlard W. Adamache, Ph.D. 
John E. Schneider, M.A. 
Angela R. Merrill, B.A. 

Health Economics Research, Inc. 

and 

Stephen Zuckerman, Ph.D. 

The Urban Institute 
2100 M Street, N.W. 
Washington, DC 20037 



May 1994 




This report was prepared under Cor\tract No. 50G-89-0050 from the Health Care Finaiidng Administration to Health Economics 
l^eseardv Inc. The assistance of our HCf A Project Officer, Sherry Terrell, Ph.D., is gratefully acknowledged. The statements 
contained in this report are solely those of the authors and do not necessarily reflect the views or policies of the Health Care 
Financing AdministratioiL The conlTactor assutr^ respcaisibility for the accuracy and completeness of the iitformation 
contained in this report. 



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c 

8 
a 



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CO 



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s 

E 

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c 
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3 
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I 

o 
a. 
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(I) 

M 
3 
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c 

8 



M 
C 

<5 

is 

< 

CO 



c 

1 

s 

•5) 
E 

0) 

S> 

JO 

c 



(0 
C3) 

c 

E 
n) 

0) 

o 

I 

(0 

c 

3 

8 



8 .2 



E 



2 ^ 



C 
(Q 



Si 

ii 

O TO 



■c 

3 
O 



12 



8 

u 
ra 
c 



u 



(A 
C3) 
C 

E 

>» 
■c 

3 
O 

x: 
c 

Rl 
<U 

E 



a. 

8 



X 

a> 
■a 
c 



a. 

(0 
(0 

E 



a- 

3 

o 

O 

CO 

o 



S < 

1 E 
8. 

$ § 

E a 

§ E 

i 8 

8 « 



' 1 

5 -D 



11 



A-I-8 



T 



APPENDIX 1-2 

DIFFERENCE BETWEEN 1996 GPCI EMPLOYEE WAGE INDEX WEIGHTED BY RELATIVE VALUE UNITS (RVUs) 
AND POPULATION, BY MEDICARE PAYMENT LOCALITY, RANKED IN DESCENDING ORDER OF DIFFERENCE 



Carrier 


Locality 




Number 


Number 


Locality Name 


00820 


02 


SOUTH DAKOTA 


00640 


nA 

01 


SOUTHEAST IOWA 


00650 


n A 

01 


REST OF KANSAS 


00820 


n. A 

01 


NORTH DAKOTA 


16510 


A a 

18 


EASTERN VALLEY, WV 


21200 


03 


^ inr*! 1 r"i*^ A i a a a i a i ^ 

SOUTHERN MAINE 


00655 


00 


NEBRASKA 


00640 


02 


NORTHEAST IOWA 


01031 


99 


REST OF AZ 


01370 


00 


OKLAHOMA 


loooU 


00 


OHIO 




1 1 


DECATUR, IL 


U044U 


35 


TENNESSEE 


00520 


13 


ARKANSAS 


00973 


20 


PUERTO RICO 


00640 


06 


NORTHWEST IOWA 


01120 


01 


HAWAII/GUAM 


00550 


01 


COLORADO 


01360 


05 


NEW MEXICO 


00621 


09 


SPRINGFIELD, IL 


00590 


01 


REST OF FLORIDA 


00621 


12 


EAST ST. LOUIS, IL 


00621 


06 


KANKAKEE, IL 


00720 


00 


MINNESOTA (TRAVELERS) 


10240 


00 


MINNESOTA (BLUE SHIELD) 


00951 


40 


GREEN BAY (NORTHEAST), Wl 


00640 


07 


SOUTHWEST IOWA 


05535 


00 


NORTH CAROLINA 


00542 


01 


N. COASTAL CNTYS, CA 


00528 


06 


LAFAYETTE, LA 


05130 


11 


SOUTH IDAHO 


00690 


01 


BALTIMORE/SURR. CNTYS, MD 


00751 


01 


MONTANA 


00640 


03 


NORTH CENTRAL IOWA 


00542 


02 


NE RURAL, CA 


00510 


02 


NORTH CENTRAL AL 


00910 


09 


UTAH 


00710 


02 


MICHIGAN, NOT DETROIT 


00580 


01 


DC +MDA/A SUBURBS 


01390 


03 


E CNTRL & NE WA 


00621 


08 


NORMAL, IL 


00529 


50 


REST OF LA 



RVU- Pop- 
Weighted Weighted 
Wage Wage Percent 
Index Index Difference Difference 



0.800 


0.771 


0.029 


3.6% 


0.871 


0.843 


0.028 


3.2 


0.859 


0.836 


0.023 


2.7 


0.838 


0.816 


0.022 


2.6 


0.917 


0.897 


0.020 


2.2 


0.998 


0.981 


0.017 


1.7 


0.827 


0.811 


0.016 


1.9 


0.849 


0.832 


0.016 


1.9 


0.932 


0.916 


0.015 


1.6 


0.881 


0.865 


0.015 


1.7 


0.964 


0.950 


0.015 


1.6 


0.848 


0.836 


0.013 


1.5 


0.896 


0.883 


0.013 


1.5 


0.826 


0.813 


0.013 


1.6 


0.498 


0.485 


0.013 


2.6 


0.803 


0.791 


0.012 


1.5 


1.054 


1.041 


0.012 


1.1 


0.955 


0.943 


0.012 


1.3 


0.874 


0.863 


0.011 


1.3 


0.962 


0.951 


0.011 


1.1 


0.878 


0.869 


0.010 


1.1 


0.954 


0.945 


0.009 


0.9 


0.841 


0.833 


0.008 


A A 

1.0 


0.979 


0.972 


0.008 


0.8 


0.979 


0.972 


0.008 


0.8 


0.894 


0.887 


0.006 


0.7 


0.823 


0.816 


0.006 


0.7 


0.923 


0.917 


0.005 


0.5 


1.078 


1.073 


0.005 


0.5 


0.869 


0.864 


0.005 


0.6 


0.860 


0.855 


0.004 


0.5 


1.087 


1.083 


0.004 


0.4 


0.838 


0.835 


0.003 


0.4 


0.811 


0.807 


0.003 


0.4 


0.978 


0.976 


0.002 


0.2 


0.842 


0.841 


0.002 


0.2 


0.879 


0.877 


0.002 


0.2 


0.952 


0.950 


0.002 


0.2 


1.190 


1.188 


0.002 


0.2 


0.959 


0.958 


0.001 


0.1 


0.875 


0.875 


0.001 


0.1 


0.856 


0.855 


0.001 


0.1 



A-I-9 



APPENDIX 1-2 

DIFFERENCE BETWEEN 1996 GPCI EMPLOYEE WAGE INDEX WEIGHTED BY RELATIVE VALUE UNITS (RVUs) 
AND POPULATION, BY MEDICARE PAYMENT LOCALITY, RANKED IN DESCENDING ORDER OF DIFFERENCE 









RVU- 


Pop- 












Weighted 


Weighted 






Carrier 


Locality 




Wage 


Wage 




Percer 


Number 


Number 


Locality Name 


Index 


index 


Difference 


Differer 


00542 


A A 

10 


MERCED/SURR.CNTYS, CA 


1.003 


1 .003 


0.001 


0.1 


10490 


03 


SM TOWN/INDUSTRIAL VA 


0.872 


0.871 


0.001 


0.1 


OOooO 


All 

01 


SOUTH CAROLINA 


0.887 


0.887 


0.000 


0.0 


00542 


A ^ 

12 


MONTEREY/SANTA CRUZ, CA 


1.072 


1.072 


0.000 


0.0 


16510 


16 


1 1 A 1 ^^^^^^ A 1 t ■ n f 

CHARLESTON, WV 


0.899 


0.899 


0.000 


0.0 


00803 


03 


POUGHKPSIE/N NYC SUBURBS, NY 


1.012 


1.012 


0.000 


0.0 


00542 


08 


STOCKTON/SURR. CNTYS , CA 


1.087 


1.086 


0.000 


0.0 


AAC A A 

00542 


04 


SACRAMENTO/SURR. CNTYS, CA 


1.124 


1.124 


0.000 


0.0 


A AO^ IT 

00865 


04 


REST OF PA 


0.902 


0.902 


0.000 


0.0 


AAO^ A 

00860 


A A 

01 


A 1 r^^ni 1 p^ A 1 All 

NORTHERN NJ 


1.217 


1.217 


0.000 


0.0 


00781 


50 


VERMONT 


0.969 


0.970 


-0.001 


-0.1 


01380 


12 


SW OR CITIES (CITY LIMITS) 


0.906 


0.907 


-0.001 


-0.1 


00621 


05 


PEORIA, IL 


0.903 


0.905 


-0.001 


-0.1 


11260 


02 


SM E. CITIES, MO 


0.756 


0.757 


-0.001 


-0.1 


16510 


19 


OHIO RIVER VALLEY, WV 


0.816 


0.819 


-0.002 


-0.2 


00621 


10 


CHAMPAIGN-URBANA, IL 


0.827 


0.829 


-0.002 


-0.2 


00570 


01 


DELAWARE 


1.061 


1.064 


-0.002 


-0.2 


00700 


01 


URBAN MASS 


1.212 


1.214 


-0.002 


-0.2 


01290 


02 


RENO, ET AL. (CITIES), NV 


1.081 


1.083 


-0.002 


-0.2 


00590 


04 


MIAMI, FL 


1.043 


1.045 


-0.002 


-0.2 


00952 


54 


JANESVILLE (S CNTRL), Wl 


0.861 


0.863 


-0.002 


-0.2 


00870 


01 


RHODE ISLAND 


1.100 


1.102 


-0.002 


-0.2 


00542 


03 


MARIN/NAPA/SOLANO, CA 


1.182 


1.185 


-0.003 


-0.3 


A A C A 

00510 


03 


1 l^^l 1 A A 1 

SOUTHEAST AL 


0.825 


0.828 


-0.003 


/^ A 

-0.4 


00801 


02 


ROCHESTER/SURR. CNTYS, NY 


0.982 


0.984 


-0.003 


-0.3 


00952 


60 


OSHKOSH (E CNTRL), Wl 


0.879 


0.883 


-0.003 


-0.3 


21200 


02 


CENTRAL MAINE 


0.917 


0.921 


-0.003 


-0.3 


01040 


04 


REST OF GA 


0.874 


0.877 


-0.003 


-0.3 


01040 


02 


SMALL GA CITIES 02 


0.923 


0.927 


-0.004 


-0.4 


AAA A /\ 

00860 


03 


SOUTHERN NJ 


1.072 


1.076 


-0.004 


-0.4 


AAC A A 

00542 


03 


KINGS/TULARE, CA 


0.991 


0.995 


-0.004 


-0.4 


00621 


14 


SOUTHERN IL 


0.794 


0.799 


-0.005 


-0.6 


05130 


12 


NORTH IDAHO 


0.825 


0.831 


-0.005 


-0.6 


00621 


07 


QUINCY, IL 


0.794 


0.799 


-0.005 


-0.6 


00640 


04 


S CNTRL lA (EXCL. DES MOINES) 


0.772 


0.778 


-0.005 


-0.6 


00621 


13 


SOUTHEAST IL 


0.794 


0.799 


-0.005 


-0.6 


16510 


20 


SOUTHERN VALLEY, WV 


0.810 


0.815 


-0.005 


-0.6 


21200 


01 


NORTHERN MAINE 


0.913 


0.917 


-0.005 


-0.5 


00630 


03 


REST OF IN 


0.866 


0.871 


-0.005 


-0.6 


00801 


01 


BUFFALO/SURR. CNTYS, NY 


0.941 


0.946 


-0.005 


-0.5 


00900 


30 


SAN ANGELO, TX 


0.807 


0.812 


-0.005 


-0.6 


00900 


34 


WICHITA FALLS, TX 


0.816 


0.821 


-0.005 


-0.6 



A-I-10 



APPENDIX 1-2 



DIFFERENCE BETWEEN 1996 GPCI EMPLOYEE WAGE INDEX WEIGHTED BY RELATIVE VALUE UNITS (RVUs) 
AND POPULATION, BY MEDICARE PAYMENT LOCALITY, RANKED IN DESCENDING ORDER OF DIFFERENCE 



Carrier 


Locality 




Number 


Number 


Locality Name 


00900 


19 


MC ALLEN, TX 


00900 


10 


BROWNSVILLE, TX 


00900 


33 


LAREDO, TX 


10230 


01 


NW AND N. CNTRL CT 


00951 


46 


MILWAUKEE SURBURBS (SE), Wl 


00951 


14 


SOUTHWEST Wl 


00621 


15 


SUBURBAN CHICAGO, IL 


00951 


13 


CENTRAL Wl 


00590 


02 


N/NC FL CITIES 


00900 


29 


ABILENE, TX 


00621 


04 


ROCK ISLAND, IL 


00740 


01 


ST JOSEPH, MO 


00900 


16 


GRAYSON, TX 


00900 


17 


LONGVIEW, TX 


00900 


27 


TYLER, TX 


00528 


05 


MONROE, LA 


00900 


08 


TEXARKANA, TX 


00510 


04 


MOBILE, AL 


00528 


02 


SHREVEPORT, LA 


00528 


04 


LAKE CHARLES, LA 


00528 


07 


ALEXANDRIA, LA 


00900 


06 


TEMPLE, TX 


00900 


26 


AMARILLO, TX 


00900 


32 


VICTORIA, TX 


00528 


03 


BATON ROUGE, LA 


00900 


13 


ODESSA, TX 


00900 


23 


MIDLAND, TX 


00900 


25 


ORANGE, TX 


00900 


20 


BEAUMONT, TX 


00900 


14 


EL PASO, TX 


00900 


21 


LUBBOCK, TX 


00900 


22 


WACO, TX 


00900 


24 


CORPUS CHRISTI, TX 


01040 


01 


ATLANTA, GA 


00510 


05 


BIRMINGHAM, AL 


00900 


07 


SAN ANTONIO, TX 


01030 


07 


PRESCOTT, AZ 


00640 


05 


DES MOINES (POLKWARREN), lA 


02050 


28 


SAN DIEGO/IMPERIAL, CA 


00660 


01 


LEXINGTON & LOUISVILLE, KY 


01030 


08 


YUMA, AZ 


01290 


03 


ELKO & ELY (CITIES), NV 



RVU- Pop- 
Weighted Weighted 
Wage Wage Percent 
Index Index Difference Difference 



0.772 


0.777 


-0.005 


-0.6 


0.773 


0.779 


-0.005 


-0.6 


0.768 


0.773 


-0.005 


-0.7 


1.239 


1.244 


-0.005 


-0.4 


0.919 


0.924 


-0.005 


-0.5 


0.844 


0.850 


-0.006 


-0.7 


1.033 


1.040 


-0.006 


-0.6 


0.844 


0.850 


-0.006 


-0.7 


0.913 


0.920 


-0.006 


-0.7 


0.830 


0.836 


-0.006 


-0.7 


0.842 


0.848 


-0.006 


-0.7 


0.852 


0.858 


-0.006 


-0.7 


0.850 


0.855 


-0.006 


-0.7 


0.842 


0.848 


-0.006 


-0.7 


0.892 


0.898 


-0.006 


-0.7 


0.842 


0.847 


-0.006 


-0.7 


0.848 


0.853 


-0.006 


-0.7 


0.833 


0.839 


-0.006 


-0.7 


0.892 


0.898 


-0.006 


-0.7 


0.922 


0.928 


-0.006 


-0.7 


0.847 


0.853 


-0.006 


-0.7 


0.868 


0.874 


-0.006 


-0.7 


0.895 


0.901 


-0.006 


-0.7 


0.851 


0.857 


-0.006 


-0.7 


0.899 


0.905 


-0.006 


-0.7 


0.913 


0.919 


-0.006 


-0.7 


0.913 


0.919 


-0.006 


-0.7 


0.895 


0.901 


-0.006 


-0.7 


0.895 


0.901 


-0.006 


-0.7 


0.843 


0.849 


-0.006 


-0.7 


0.866 


0.872 


-0.006 


-0.7 


0.829 


0.835 


-0.006 


-0.7 


0.864 


0.870 


-0.006 


-0.7 


1.061 


1.067 


-0.006 


-0.6 


0.928 


0.934 


-0.006 


-0.6 


0.892 


0.898 


-0.006 


-0.7 


0.859 


0.865 


-0.006 


-0.7 


0.904 


0.910 


-0.006 


-0.7 


1.069 


1.074 


-0.006 


-0.6 


0.914 


0.920 


-0.006 


-0.7 


0.862 


0.868 


-0.006 


-0.7 


0.974 


0.981 


-0.006 


-0.6 



A-I-ll 



APPENDIX 1-2 

DIFFERENCE BETWEEN 1996 GPCI EMPLOYEE WAGE INDEX WEIGHTED BY RELATIVE VALUE UNITS (RVUs) 
AND POPULATION. BY MEDICARE PAYMENT LOCALITY, RANKED IN DESCENDING ORDER OF DIFFERENCE 



RVU- Pop- 
Weighted Weighted 

Carrier Locality Wage Wage Percent 

Number Number Locality Name Index Index Difference Difference 



00900 


09 


BRAZORIA, TX 


0.939 


0.945 


-0.006 


-0.6 


01030 


02 


TUCSON, AZ 


0.914 


0.920 


-0.006 


-0.7 


01380 


01 


PORTLAND, ETAL. (CITIES), OR 


1.047 


1.052 


-0.006 


-0.6 


00900 


12 


DENTON, TX 


0.874 


0.879 


-0.006 


-0.7 


01030 


05 


FLAGSTAFF, AZ 


0.859 


0.865 


-0.006 


-0.7 


00974 


50 


VIRGIN ISLANDS 


0.887 


0.893 


-0.006 


-0.7 


00900 


31 


AUSTIN, TX 


0.923 


0.929 


-0.006 


-0.7 


00630 


01 


METROPOLITAN IN 


941 


0.946 


-0.006 


-0.6 


A A f\ 

16510 


A ^ 

17 


WHEELING, WV 


0.800 


0.808 


-0.007 


-0.9 


10490 


01 


RICHMOND & CHARLOTTESVILLE, VA 


1.019 


1.026 


-0.007 


-0.7 


00528 


01 


NEW ORLEANS, LA 


0.980 


0.987 


-0.007 


-0.7 


00951 


36 


t A 1 A 1 I^N All 1 k i^rr^i \ \ A f 1 

WAUSAU (N CNTRL), Wl 


0.846 


0.852 


-0.007 


-0.8 


00542 


A A 

11 


FRESNO/MADERA, CA 


A e\A ^ 

1 .016 


1 .023 


r\ r\r\~7 

-0.007 


-U. / 


00740 


02 


N K.C. (CLAY/PLATTE), MO 


0.979 


0.985 


-0.007 


-0.7 


01030 


01 


PHOENIX, AZ 


0.975 


0.982 


-0.007 


-0.7 


00740 


03 


K.C. (JACKSON CNTY), MO 


0.979 


0.985 


-0.007 


-0.7 


00740 


04 


SUBURBAN KANSAS CITY, KANSAS 


0.979 


0.985 


-0.007 


-0.7 


00740 


05 


KANSAS CITY, KANSAS 


0.979 


0.985 


-0.007 


-0.7 


00900 


28 


FORT WORTH, TX 


0.976 


0.982 


-0.007 


-0.7 


00801 


03 


N. CENTRAL CITIES, NY 


0.967 


0.974 


-0.007 


-0.7 


00951 


04 


MILWAUKEE, Wl 


1.001 


1.007 


-0.007 


-0.7 


00542 


14 


BAKERSFIELD , CA 


1.032 


1.039 


-0.007 


-0.7 


00900 


18 


HOUSTON, TX 


1.033 


1.040 


-0.007 


-0.7 


00900 


15 


GALVESTON, TX 


0.978 


0.985 


-0.007 


r\ 7 
-0.7 


00951 


15 


AAA 1 k 1 /rN A L 1 k. i^~\ \ a /i 

MADISON (DANE CNTY), Wl 


0.983 


0.989 


-0.007 


n 7 
-O.f 




1 1 


l"\ A 1 1 AO T\J 

DALLAS, TX 


1 .034 


1 .040 


-U.UU / 


n 7 

-U. / 


00865 


03 


SM PA CITIES 


0.915 


0.922 


-0.007 


-0.8 


01290 


01 


LAS VEGAS, ET AL. (CITIES), NV 


1.008 


1.015 


-0.007 


-0.7 


01390 


02 


SEATTLE (KING CNTY), WA 


1.097 


1.104 


-0.007 


-0.6 


02050 


16 


SANTA BARBARA, CA 


1.076 


1.083 


-0.007 


-0.7 


00542 


27 


RIVERSIDE, CA 


1.062 


1.070 


-0.007 


-0.7 


00621 


16 


CHICAGO, IL 


1.087 


1.094 


-0.007 


-0.6 


10490 


04 


REST OF VA 


0.880 


0.887 


-0.007 


-0.8 


02050 


17 


VENTURA, CA 


1.119 


1.127 


-0.007 


-0.6 


00825 


21 


WYOMING 


0.879 


0.886 


-0.008 


-0.9 


00542 


15 


SAN BERNADINO/E.CTRL CNTYS CA 


1.101 


1.108 


-0.008 


-0.7 


00542 


07 


OAKLAND/BERKLEY, CA 


1.275 


1.283 


-0.008 


-0.6 


02050 


18 


LOS ANGELES (1ST OF 8) 


1.203 


1.211 


-0.008 


-0.7 


02050 


19 


LOS ANGELES (2ND OF 8) 


1.203 


1.211 


-0.008 


-0.7 


02050 


20 


LOS ANGELES (3RD OF 8) 


1.203 


1.211 


-0.008 


-0.7 


02050 


21 


LOS ANGELES (4TH OF 8) 


1.203 


1.211 


-0.008 


-0.7 


02050 


22 


LOS ANGELES (5TH OF 8) 


1.203 


1.211 


-0.008 


-0.7 



A-I-12 



APPENDIX 1-2 



DIFFERENCE BETWEEN 1996 GPCI EMPLOYEE WAGE INDEX WEIGHTED BY RELATIVE VALUE UNITS (RVUs) 
AND POPULATION. BY MEDICARE PAYMENT LOCALITY, RANKED \A DESCENDING ORDER OF DIFFERENCE 



RVU- Pop- 
Weighted Weighted 

Carrier Locality Wage Wage Percent 

Number Number Locality Name Index Index Difference Difference 



02050 


23 


LOS ANGELES (6TH OF 8) 


1.203 


1.211 


-0.008 


-0.7 


02050 


24 


LOS ANGELES (7TH OF 8) 


1.203 


1.211 


-0.008 


-0.7 


02050 


25 


LOS ANGELES (8TH OF 8) 


1.203 


1.211 


-0.008 


-0.7 


02050 


26 


ANAHEIM/SANTA ANA, CA 


1.178 


1.186 


-0.008 


-0.7 


11260 


03 


REST OF MO 


0.768 


0.777 


-0.009 


-1.2 


10230 


04 


EASTERN CT 


1.194 


1.203 


-0.009 


-0.8 


14330 


04 


QUEENS, NY 


1.292 


1.300 


-0.009 


-0.7 


00542 


09 


SANTA CU\RA, CA 


1.310 


1.319 


-0.009 


-0.7 


00542 


06 


SAN MATEO, CA 


1.289 


1.297 


-0.009 


-0.7 


00542 


05 


SAN FRANCISCO, CA 


1.353 


1.362 


-0.009 


-0.7 


00803 


01 


MANHATTAN, NY 


1.375 


1.384 


-0.009 


-0.7 


01380 


03 


SALEM. ET AL. (CITIES), OR 


0.923 


0.932 


-0.009 


-1.0 


00865 


02 


LG PA CITIES 


1.005 


1.014 


-0.009 


-0.9 


10230 


03 


S. CNTRL CT 


1.274 


1.282 


-0.009 


-0.7 


10230 


02 


SW CT 


1.268 


1.278 


-0.010 


-0.8 


00803 


02 


NYC SUBURBS/LONG 1., NY 


1.246 


1.257 


-0.011 


-0.9 


00710 


01 


DETROIT, Ml 


1.073 


1.084 


-0.011 


-1.0 


00900 


04 


WESTERN TX 


0.785 


0.797 


-0.011 


-1.4 


00951 


12 


NORTHWEST Wl 


0.852 


0.863 


-0.G11 


-1.3 


00740 


06 


RURAL NW COUNTIES, MO 


0.808 


0.820 


-0.G11 


-1.4 


00780 


40 


NEW HAMPSHIRE 


1.020 


1.032 


-0 '^12 


-1.2 


01291 


99 


REST OF NEVADA 


1.006 


1.018 


-0.012 


-1.2 


01020 


01 


AU\SKA 


1.267 


1.279 


-0.012 


-0.9 


01390 


01 


W & SE WA (EXCL SEATTLE) 


0.967 


0.979 


-0.012 


-1.2 


00510 


06 


REST OF AL 


0.802 


0.815 


-0.013 


-1.6 


00801 


04 


REST OF NEW YORK 


0.926 


0.938 


-0 ■'-'3 


-1.4 


00700 


02 


MASS SUBURBS/RURAL CITIES 


1.136 


1.150 


-0.014 


-1.2 


00590 


03 


FORT LAUDERDALE. FL 


0.994 


1.007 


-0.014 


-1.4 


00630 


02 


URBAN IN 


0.874 


0.889 


-0.015 


-1.7 


00860 


02 


MIDDLE NJ 


1.066 


1.081 


-0.015 


-1.4 


00510 


01 


NORTHWEST AL 


0.848 


0.864 


-0.015 


-1.8 


01040 


03 


SMALL GA CITIES 03 


0.872 


0.888 


-0.015 


-1.7 


00621 


02 


ROCKFORD, IL 


0.920 


0.935 


-0.015 


-1.6 


10250 


01 


REST OF MISSISSIPPI 


0.773 


0.790 


-0.017 


-2.2 


00621 


03 


DE KALB. IL 


0.833 


0.850 


-0.017 


-2.0 


00690 


02 


WESTERN MD 


0.922 


0.942 


-0.020 


-2.2 


00865 


01 


PHILLY/PITT MED SHCLS/HOSPS, PA 


1.106 


1.127 


-0.021 


-1.9 


01380 


02 


EUGENE, ETAL. (CITIES), OR 


0.925 


0.945 


-0.021 


-2.3 


00660 


03 


REST OF KENTUCKY 


0.811 


0.834 


-0.023 


-2.8 


00660 


02 


SM CITIES (CITY LIMITS) KY 


0.829 


0.852 


-0.023 


-2.8 


10250 


02 


URBAN MISSISSIPPI 


0.835 


0.859 


-0.024 


-2.9 


00900 


02 


NORTHEAST RURAL TX 


0.818 


0.842 


-0.024 


-2.9 



A-I-13 



APPENDIX 1-2 

DIFFERENCE BETWEEN 1996 GPCI EMPLOYEE WAGE INDEX WEIGHTED BY RELATIVE VALUE UNITS (RVUs) 
AND POPULATION, BY MEDICARE PAYMENT LOCALITY, RANKED IN DESCENDING ORDER OF DIFFERENCE 



Carrier Locality 
Number Number 



Locality Name 



RVU- 
Weighted 
Wage 
Index 



Pop- 
Weighted 
Wage 
Index 



Difference 



Percent 
Difference 



10490 


02 


TIDEWATER & N VA CNTYS 


0.919 


0.943 


-0.024 


-2.6 


00900 


03 


SOUTHEAST RURAL TX 


0.825 


0.852 


-0.026 


-3.2 


11260 


01 


ST. LOUIS/LG E. CITIES, MO 


0.936 


0.965 


-0.028 


-3.0 


00621 


01 


NORTHWEST, IL 


0.809 


0.840 


-0.032 


-4.0 


00951 


19 


LA CROSSE (W CNTRL), Wl 


0.867 


0.902 


-0.035 


-4.0 


00690 


03 


SOUTH & E. SHORE MD 


0.935 


0.974 


-0.039 


-4.2 


01381 


99 


REST OF OREGON 


0.889 


0.938 


-0.049 


-5.5 



A-I-14 



APPENDIX 1-3 

FINAL EMPLOYEE WAGE INDICES BY MEDICARE PAYMENT LOCALITY 
(sorted alphabetically by state and locality name within state) 



Rescaled 









1996 


1996 


1992 


Carrier 


Locality 




Employee 


Employee 


Employe* 


Number 


Number 


Localitv Name 


Waqe Index 


Waqe Index 


Waqe Inde 


00510 


05 


BIRMINGHAM, AL 


0.928 


0.929 


0.947 


00510 


04 


MOBILE, AL 


0.833 


0.835 


0.894 


00510 


02 


NORTH CENTRAL AL 


0.842 


0.844 


0.895 


00510 


01 


NORTHWEST AL 


0.848 


0.849 


0.880 


00510 


06 


REST OF AL 


0.802 


0.803 


0.881 


00510 


03 


SOUTHEAST AL 


0.825 


0.826 


0.890 


01020 


01 


ALASKA 


1.267 


1.268 


1.437 


01030 


05 


FLAGSTAFF, A2 


0.859 


0.860 


0.904 


01030 


01 


PHOENIX, AZ 


0.975 


0.976 


0.945 


01030 


07 


PRESCOTT, AZ 


0.859 


0.860 


0.904 


01030 


99 


REST OF AZ 


0.932 


0.933 


0.912 


01030 


02 


TUCSON, AZ 


0.914 


0.915 


0.913 


01030 


08 


YUMA, AZ 


0.862 


0.863 


0.904 


00520 


13 


ARKANSAS 


0.826 


0.827 


0.857 


02050 


26 


ANAHEIM/SANTA ANA. CA 


1.178 


1.180 


1.126 


00542 


14 


BAKERSFIELD , CA 


1.032 


1.033 


1.053 


00542 


11 


FRESNO/MADERA, CA 


1.016 


1.017 


1.017 


00542 


13 


KINGS/TULARE, CA 


0.991 


0.992 


0.963 


02050 


18 


LOS ANGELES (1ST OF 8) 


1.203 


1.204 


1.185 


02050 


19 


LOS ANGELES (2ND OF 8) 


1 .203 


1.204 


1.185 


02050 


20 


LOS ANGELES (3RD OF 8) 


1.203 


1.204 


1.185 


02050 


21 


LOS ANGELES (4TH OF 8) 


1.203 


1.204 


1.185 


02050 


22 


LOS ANGELES (5TH OF 8) 


1.203 


1.204 


1.185 


02050 


23 


LOS ANGELES (6TH OF 8) 


1.203 


1.204 


1.185 


02050 


24 


LOS ANGELES (7TH OF 8) 


1.203 


1.204 


1.185 


02050 


25 


LOS ANGELES (8TH OF 8) 


1.203 


1.204 


1.185 


00542 


03 


MARIN/NAPA/SOLANO, CA 


1.182 


1.183 


1.163 


00542 


10 


MERCED/SURR.CNTYS, CA 


1.003 


1.005 


0.996 


00542 


12 


MONTEREY/SANTA CRUZ, CA 


1.072 


1.074 


1.045 


00542 


01 


N. COASTAL CNTYS, CA 


1.078 


1.079 


1.037 


00542 


02 


NE RURAL, CA 


0.978 


0.979 


0.992 


00542 


07 


OAKLAND/BERKLEY, CA 


1.275 


1.277 


1.249 


00542 


27 


RIVERSIDE, CA 


1.062 


1.064 


1.080 


00542 


04 


SACRAMENTO/SURR. CNTYS, CA 


1.124 


1.125 


1.110 


00542 


15 


SAN BERNADINO/E.CTRL CNTYS CA 


1.101 


1.102 


1.077 


02050 


28 


SAN DIEGO/IMPERIAL. CA 


1.069 


1.070 


1.012 


00542 


05 


SAN FRANCISCO, CA 


1.353 


1.354 


1.259 


00542 


06 


SAN MATEO, CA 


1.289 


1.290 


1.259 


02050 


16 


SANTA BARBARA, CA 


1.076 


1.077 


1.012 


00542 


09 


SANTA CLARA, CA 


1.310 


1.312 


1.225 


00542 


08 


STOCKTON/SURR. CNTYS , CA 


1.087 


1.088 


1.073 


02050 


17 


VENTURA, CA 


1.119 


1.121 


1.066 


00550 


01 


COLORADO 


0.955 


0.956 


0.982 


10230 


04 


EASTERN CT 


1.194 


1.195 


1.000 



A-I-15 



APPENDIX 1-3 



FINAL EMPLOYEE WAGE INDICES BY MEDICARE PAYMENT LOCALITY 
(sorted alphabetically by state and locality name within state) 



Rescaled 

1996 1996 1992 

Carrier Locality Employee Employee Employee 

Number Number Locality Name Wage Index Wage Index Wage Index 



10230 


01 


KI\AI AKir^ Kl ^KITni /^T 

NW AND N. CNTRL CT 


1 .239 


A ^ A A 

1 .241 


A f\A C 

1 .016 


i noon 


03 


S. CNTRL CT 


1.274 


1 .275 


A AO A 

1.031 


1 noon 


no 
02 


SW CT 


1.268 


1.270 


A A^C 

1.076 


nnc7n 


n-f 
01 


UbLAWARc 


A f\C A 

1 .061 


1 .063 


A ft ft A 

1 .009 


nncQn 


ni 
01 


UC +lvlD/VA SUBURBS 


1 .190 


A A r\o 

1 .192 


A A GC 

1 .165 


nncon 
UU09U 


no 
Oo 


rUK 1 LAUUtRDALt, PL 


A r\C\ A 

0.994 


0.995 


n noo 

0.928 


nncon 


nil 
04 


MIAMI, FL 


1.043 


4 f\ A A 

1 .044 


A f\A ^ 

1 .013 


nncon 


no 
02 


N/NC PL CITIES 


0.913 


f\ t^A A 

0.914 


ft 000 

0.888 


nncnn 
00590 


01 


REST OF FLORIDA 


0.878 


U.879 


A QC C 

0.855 


01040 


01 


ATLANTA, GA 


1.061 


1.062 


0.999 


01040 


04 


REST OF GA 


0.874 


0.875 


0.839 


01040 


02 


SMALL GA CITIES 02 


0.923 


0.925 


0.894 


r\4 r\A f\ 

01040 


03 


SMALL GA CITIES 03 


0.872 


0.873 


0.864 


01 120 


01 


HAWAII/GUAM 


1.054 


1.055 


A f\C A 

1 .051 


nc -ion 
Ub1 oO 


•4 
12 


NORTH IDAHO 


0.825 


0.826 


A one 

0.895 


nC'i on 
Uol oU 


A A 
1 1 


SOUTH IDAHO 


0.860 


0.861 


A CkA A 

0.91 1 


UU021 


n 
10 


/^LJ A H ilD A 1/^ M 1 IDDAKIA II 

CHAMPAIGN-URBANA, IL 


0.827 


0.828 


n non 
0.920 


UU021 


ID 


CHICAoO, IL 


A AO"7 

1 .087 


A AOO 

1 .088 


1 .1 bo 


UUD2 1 


no 
03 


P\C 1/ A 1 D '1 

Ub KALB, (L 


0.833 


0.834 


n noT 
0.92/ 


nnc 0-1 
UUD2 1 


1 1 


r^Cr^ATI 10 II 

DECATUR, IL 


0.848 


f\ Q At\ 

0.849 


n ncn 
0.950 


nncoi 


A 

12 


C A OT OT" 1 /^l 11^ 11 

EAST ST. LOUIS, IL 


0.954 


0.956 


n n'TT 
0.9/ / 


nnftOi 
UUD^ 1 


nc 
Uo 


r\ANI\Ar\bb, IL 


f\ Q A A 

0.841 


n ii 

0.842 


n QA -1 
0.941 


UUb21 


no 

08 


NORMAL, IL 


0.875 


0.877 


0.995 


nnco-i 
00621 


01 


NORTHWEST, IL 


0.809 


0.810 


ft ftftft 

0.909 


nnco-i 
00021 


05 


PEORIA. IL 


0.903 


0.904 


A ft ft r" 

1.085 






fW IIMO\/ II 

UUINCY, IL 


0.794 


0.795 


ft ftftft 

0.909 


UU021 


04 


D^^l^ 101 A Kir\ II 

ROCK ISLAND, IL 


0.842 


f\ ft ^ 

0.843 


ft ft^ft 
0.976 


UU021 


no 
02 


ROCKFORD, IL 


0.920 


0.921 


A AO "7 

1 .037 


UU02 1 


■1 
13 


0/^1 ITLIC A 11 

SOUTHEAST IL 


0.794 


0.795 


ft ftftft 

0.909 


UU02 1 


14 


O/^l ITLJCOKI 11 

SOUTHERN IL 


0.794 


0.795 


ft ftftft 

0.909 


00621 


09 


SPRINGFIELD, IL 


0.962 


0.963 


0.990 


00621 


15 


SUBURBAN CHICAGO, IL 


1.033 


1.035 


1.093 


00630 


01 


METROPOLITAN IN 


0.941 


0.942 


1.010 


00630 


03 


REST OF IN 


0.866 


0.868 


0.917 


00630 


02 


URBAN IN 


0.874 


0.875 


0.917 


00640 


05 


DES MOINES (POLK/WARREN), lA 


0.904 


0.906 


0.965 


00640 


03 


NORTH CENTRAL IOWA 


0.811 


0.812 


0.914 


00640 


02 


NORTHEAST IOWA 


0.849 


0.850 


0.910 


00640 


06 


NORTHWEST IOWA 


0.803 


0.804 


0.883 


00640 


04 


S CNTRL lA (EXCL. DES MOINES) 


0.772 


0.773 


0.878 


00640 


01 


SOUTHEAST IOWA 


0.871 


0.872 


0.932 


00640 


07 


SOUTHWEST IOWA 


0.823 


0.824 


0.900 


00740 


05 


KANSAS CITY, KANSAS 


0.979 


0.980 


0.988 


00650 


01 


REST OF KANSAS 


0.859 


0.860 


0.896 



A-I-16 



APPENDIX 1-3 



FINAL EMPLOYEE WAGE INDICES BY MEDICARE PAYMENT LOCALITY 
(sorted alphabetically by state and locality name within state) 



Rescaled 

1996 1996 1992 

Carrier Locality Employee Employee Employee 

Number Number Locality Name Wage Index Wage Index Wage Index 



00740 


04 


SUBURBAN KANSAS CITY, KANSAS 


0.979 


0.980 


0.988 


00660 


01 


LEXINGTON & LOUISVILLE, KY 


0.914 


0.916 


0.935 


00660 


03 


REST OF KENTUCKY 


0.811 


0.812 


0.896 


00660 


02 


SM CITIES (CITY LIMITS) KY 


0.R29 


0.830 


0.926 


00528 


07 


ALEXANDRIA, LA 


0.847 


0.848 


0.901 


00528 


03 


BATON ROUGE, LA 


0.899 


0.900 


0.965 


00528 


06 


LAFAYETTE. LA 


0.869 


0.871 


0.926 


00528 


04 


LAKE CHARLES. LA 


0.922 


0.923 


0.951 


00528 


05 


MONROE, LA 


0.842 


0.843 


0.880 


00528 


01 


NEW ORLEANS, LA 


0.980 


0.981 


0.999 


00528 


50 


REST OF LA 


0.856 


0.857 


0.916 


00528 


02 


SHREVEPORT, LA 


0.892 


0.893 


0.962 


21200 


02 


CENTRAL MAINE 


0.917 


0.919 


0.855 


21200 


01 


NORTHERN MAINE 


0.913 


0.914 


0.858 


21200 


03 


SOUTHERN MAINE 


0.998 


0.999 


0.892 


00690 


01 


BALTIMORE/SURR. CNTYS, MD 


1.087 


1.088 


1.074 


00690 


03 


SOUTH & E. SHORE MD 


0.935 


0.936 


1.016 


00690 


02 


WESTERN MD 


0.922 


0.923 


1.030 


00700 


02 


MASS SUBURBS/RURAL CITIES 


1.136 


1.137 


0.993 


00700 


01 


URBAN MASS 


1.212 


1.214 


1.022 


00710 


01 


DETROIT, Ml 


1.073 


1.075 


1.196 


00710 


02 


MICHIGAN, NOT DETROIT 


0.952 


0.954 


1.038 


00720 


00 


MINNESOTA (BLUE SHIELD) 


0.979 


0.981 


0.969 


10240 


00 


MINNESOTA (TRAVELERS) 


0.979 


0.981 


0.969 


10250 


01 


REST OF MISSISSIPPI 


0.773 


0.774 


0.835 


10250 


02 


URBAN MISSISSIPPI 


0.835 


0.836 


0.901 


00740 


03 


K.C. (JACKSON CNTY), MO 


0.979 


0.980 


0.988 


00740 


02 


N K.C. (CLAY/PLATTE), MO 


0.979 


0.980 


0.988 


11260 


03 


REST OF MO 


0.768 


0.769 


0.843 


00740 


06 


RURAL NW COUNTIES, MO 


0.808 


0.809 


0.867 


11260 


02 


SM E. CITIES, MO 


0.756 


0.757 


0.834 


00740 


01 


ST JOSEPH, MO 


0.852 


0.853 


0.873 


11260 


01 


ST. LOUIS/LG E. CITIES, MO 


0.936 


0.937 


0.981 


00751 


01 


MONTANA 


0.838 


0.839 


0.918 


00655 


00 


NEBRASKA 


0.827 


0.828 


0.873 


01290 


03 


ELKO & ELY (CITIES), NV 


0.974 


0.975 


1.022 


01290 


01 


LAS VEGAS, ET AL. (CITIES), NV 


1.008 


1.009 


1.053 


01290 


02 


RENO, ET AL. (CITIES), NV 


1.081 


1.082 


1.060 


01290 


99 


REST OF NEVADA 


1.006 


1.007 


1.047 


00780 


40 


NEW HAMPSHIRE 


1.020 


1.021 


0.908 


00860 


02 


MIDDLE NJ 


1.066 


1.067 


1.004 


00860 


01 


NORTHERN NJ 


1.217 


1.218 


1.096 


00860 


03 


SOUTHERN NJ 


1.072 


1.074 


1.026 


01360 


05 


NEW MEXICO 


0.874 


0.875 


0.903 



A-I-17 



APPENDIX 1-3 



FINAL EMPLOYEE WAGE INDICES BY MEDICARE PAYMENT LOCALITY 
(sorted alphabetically by state and locality name within state) 



Rescaled 

1996 1996 1992 

Carrier Locality Employee Employee Employee 

Number Number Locality Name W age Index Wage Index Wage Index 



00801 


01 


BUFFALO/SURR. CNTYS, NY 


0.941 


0.942 


0.963 


00803 


01 


MANHATTAN, NY 


1.375 


1.376 


1.245 


00801 


03 


N. CENTRAL CITIES, NY 


0.967 


0.968 


0.956 


00803 


02 


NYC SUBURBS/LONG !., NY 


1.246 


1 .247 


1.187 


AA A n A 

00803 


03 


POUGHKPSIE/N NYC SUBURBS, NY 


1.012 


1.014 


0.972 


14330 


04 


1 1 k 1 ft IV y 

QUEENS, NY 


1.292 


1.293 


1.245 


00801 


04 


REST OF NEW YORK 


0.926 


0.927 


0.931 


00801 


02 


ROCHESTER/SURR. CNTYS, NY 


0.982 


0.983 


1.038 


05535 


00 


A 1 f^^^l 1 A 1 1 A 1 A 

NORTH CAROLINA 


0.923 


0.924 


0.891 


00820 


01 


NORTH DAKOTA 


0.838 


0.839 


0.887 


16360 


00 


OHIO 


0.964 


0.966 


1.007 


01370 


00 


OKLAHOMA 


0.881 


0.882 


0.914 


01380 


02 


EUGENE, ET AL. (CITIES), OR 


0.925 


0.926 


0.984 


01380 


01 


PORTLAND, ET AL. (CITIES), OR 


1.047 


1.048 


1.082 


01380 


99 


REST OF OREGON 


0.889 


0.891 


0.996 


01380 


03 


SALEM, ET AL. (CITIES), OR 


0.923 


0.924 


0.985 


01380 


12 


SW OR CITIES (CITY LIMITS) 


0.906 


0.907 


0.954 


00865 


02 


LG PA CITIES 


1.005 


1.006 


1.026 


00865 


01 


^\ 1 III 1 V y 1 "^^^ A A 1 i 1 il 1 P^ ft 

PHILLY/PITT MED SHCLS/HOSPS, PA 


1.106 


1.107 


1.047 


00865 


04 


REST OF PA 


0.902 


0.903 


0.935 


00865 


03 


A ft A 1 1 V 

SM PA CITIES 


0.915 


0.916 


0.961 


00973 


20 


PUERTO RICO 


0.498 


0.499 


0.545 


00870 


01 


RHODE ISLAND 


1.100 


1.101 


0.955 


00880 


01 


SOUTH CAROLINA 


0.887 


0.888 


0.875 


ft ft O ft 

00820 


02 


SOUTH DAKOTA 


0.800 


0.801 


0.832 


05440 


35 


TENNESSEE 


0.896 


0.897 


0.896 


00900 


29 


ABILENE, TX 


0.830 


0.831 


ft ft ^ ft 

0.819 


00900 


26 


AMARILLO, TX 


0.895 


0.896 


ft f\f\A 

0.901 


UU900 


31 


AUSTIN, TX 


0.923 


0.924 


ft ft ft -7 

0.927 


nnonn 


on 


BEAUMONT, TX 


0.895 


ft ft ft ft 

0.896 


0.959 


00900 


09 


BRAZORIA, TX 


0.939 


0.940 


0.960 


00900 


10 


BROWNSVILLE, TX 


0.774 


0.774 


0.859 


00900 


24 


CORPUS CHRISTI, TX 


0.864 


0.866 


0.916 


00900 


11 


DALLAS. TX 


1.034 


1.035 


1.022 


00900 


12 


DENTON. TX 


0.874 


0.875 


1.022 


00900 


14 


EL PASO. TX 


0.843 


0.844 


0.883 


00900 


28 


FORT WORTH, TX 


0.976 


0.977 


0.933 


00900 


15 


GALVESTON, TX 


0.978 


0.979 


1.036 


00900 


16 


GRAYSON, TX 


0.850 


0.851 


0.909 


00900 


18 


HOUSTON, TX 


1.033 


1.035 


1.098 


00900 


33 


LAREDO, TX 


0.768 


0.769 


0.821 


00900 


17 


LONGVIEW, TX 


0.842 


0.843 


0.902 


00900 


21 


LUBBOCK, TX 


0.866 


0.867 


0.869 


00900 


19 


MC ALLEN, TX 


0.772 


0.773 


0.821 



A-I-18 



I 



APPENDIX 1-3 

FINAL EMPLOYEE WAGE INDICES BY MEDICARE PAYMENT LOCALITY 
(sorted alphabetically by state and locality name within state) 



Carrier Locality 
Number Number 



Locality Name 



1996 
Employee 
Wage Index 



Rescaled 

1996 
Employee 
Wage Index 



1992 
Employee 
Wage Index 



00900 


23 


MIDLAND, TX 


0.913 


0.914 


0.984 


00900 


02 


NORTHEAST RURAL TX 


0.818 


0.819 


0.888 


00900 


13 


ODESSA, TX 


0.913 


0.914 


0.921 


00900 


25 


ORANGE, TX 


0.895 


0.896 


0.959 


00900 


30 


SAN ANGELO, TX 


0.807 


0.808 


0.852 


00900 


07 


SAN ANTONIO, TX 


0.892 


0.894 


0.919 


00900 


03 


SOUTHEAST RURAL TX 


0.825 


0.826 


0.904 


00900 


06 


TEMPLE, TX 


0.868 


0.870 


0.870 


00900 


08 


TEXARKANA, TX 


0.848 


0.849 


0.901 


00900 


27 


TYLER, TX 


0.892 


0.893 


0.899 


00900 


32 


VICTORIA, TX 


0.851 


0.852 


0.867 


00900 


22 


WACO, TX 


0.829 


0.830 


0.869 


00900 


04 


WESTERN TX 


0.785 


0.786 


0.848 


00900 


34 


WICHITA FALLS, TX 


0.816 


0.817 


0.872 


00910 


09 


UTAH 


0.879 


0.880 


0.935 


00780 


50 


VERMONT 


0.969 


0.970 


0.872 


00973 


50 


VIRGIN ISLANDS 


0.887 


0.888 


1.000 


10490 


04 


REST OF VA 


0.880 


0.881 


0.887 


10490 


01 


RICHMOND & CHARLOTTESVILLE, VA 


1.019 


1.020 


0.952 


10490 


03 


SM TOWN/INDUSTRIAL VA 


0.872 


0.873 


0.891 


10490 


02 


TIDEWATER & N VA CNTYS 


0.919 


0.920 


0.964 


01390 


03 


E CNTRL & NE WA 


0.959 


0.961 


1.001 


01390 


02 


SEATTLE (KING CNTY), WA 


1.097 


1.098 


1.123 


01390 


01 


W & SE WA (EXCL SEATTLE) 


0.967 


0.968 


1.023 


16510 


16 


CHARLESTON, WV 


0.899 


0.900 


0.955 


16510 


18 


EASTERN VALLEY, WV 


0.917 


0.918 


0.902 


16510 


19 


OHIO RIVER VALLEY, WV 


0.816 


0.817 


0.895 


16510 


20 


SOUTHERN VALLEY, WV 


0.810 


0.811 


0.893 


16510 


17 


WHEELING, WV 


0.800 


0.801 


0.920 


00951 


13 


CENTRAL Wl 


0.844 


0.845 


0.907 


00951 


40 


GREEN BAY (NORTHEAST), Wl 


0.894 


0.895 


0.944 


00951 


54 


JANESVILLE (S CNTRL), Wl 


0.861 


0.862 


0.912 


00951 


19 


LA CROSSE (W CNTRL), Wl 


0.867 


0.868 


0.912 


00951 


15 


MADISON (DANE CNTY), Wl 


0.983 


0.984 


0.987 


00951 


46 


MILWAUKEE SUBURBS (SE), Wl 


0.919 


0.920 


1.075 


00951 


04 


MILWAUKEE, Wl 


1.001 


1.002 


1.074 


00951 


12 


NORTHWEST Wl 


0.852 


0.854 


0.919 


00951 


60 


OSHKOSH (E CNTRL), Wl 


0.879 


0.880 


0.937 


00951 


14 


SOUTHWEST Wl 


0.844 


0.845 


0.907 


00951 


36 


WAUSAU (N CNTRL), Wl 


0.846 


0.847 


0.918 


00825 


21 


WYOMING 


0.879 


0.880 


0.956 



A-I-19 



T 



APPENDIX 1-4 

DIFFERENCE BETWEEN 1996 RESCALED EMPLOYEE WAGE INDEX AND 1992 EMPLOYEE WAGE INDEX BY 
MEDICARE PAYMENT LOCALITY, RANKED IN DESCENDING ORDER OF DIFFERENCE 



Rescaled 



Carrier 


Locality 




1996 Employee 


1992 Employee 




Percent 


Number 


Number 


Localitv Name 


Waqe Index 


Waqe Index 


Chanae 


Chanae 


10230 


03 


S. CNTRL CT 


1.275 


1.031 


0.244 


23.7 % 


10230 


01 


NW AND N. CNTRL CT 


1.241 


1.016 


0.225 


22.1 


10230 


04 


EASTERN CT 


1.195 


1.000 


0.195 


19.5 


10230 


02 


SW CT 


1.270 


1.076 


0.194 


18.0 


00700 


01 


URBAN MASS 


1.214 


1.022 


0.192 


18.8 


00870 


01 


RHODE ISLAND 


1.101 


0.955 


0.146 


15.3 


00700 


02 


MASS SUBURBS/RURAL CITIES 


1.137 


0.993 


0.144 


14.5 


00803 


01 


MANHATTAN, NY 


1.376 


1.245 


0.131 


10.5 


00860 


01 


NORTHERN NJ 


1.218 


1.096 


0.122 


11.1 


00780 


40 


NEW HAMPSHIRE 


1.021 


0.908 


0.113 


12.4 


21200 


03 


SOUTHERN MAINE 


0.999 


0.892 


0.107 


12.0 


00780 


50 


VERMONT 


0.970 


0.872 


0.098 


11.2 


00542 


05 


SAN FRANCISCO, CA 


1.354 


1.259 


0.095 


7.5 


00542 


09 


SANTA CLARA, CA 


1.312 


1.225 


0.087 


7.1 


10490 


01 


RICHMOND & CHARLOTTESVILLE, VA 


1.020 


0.952 


0.068 


7.1 


00590 


03 


FORT LAUDERDALE, FL 


0.995 


0.928 


0.067 


7.2 


02050 


16 


SANTA BARBARA, CA 


1.077 


1.012 


0.065 


6.4 


21200 


02 


CENTRAL MAINE 


0.919 


0.855 


0.064 


7.5 


00860 


02 


MIDDLE NJ 


1.067 


1.004 


0.063 


6.3 


01040 


01 


ATLANTA, GA 


1 .062 


0.999 


0.063 


6.3 


00865 


01 


PHILLY/PITT MED SHCLS/HOSPS, PA 


1.107 


1.047 


0.060 


5.7 


00803 


02 


NYC SUBURBS/LONG 1., NY 


1.247 


1.187 


0.060 


5.1 


02050 


28 


SAN DIEGO/IMPERIAL, CA 


1.070 


1.012 


0.058 


5.7 


21200 


01 


NORTHERN MAINE 


0.914 


0.858 


0.056 


6.5 


02050 


17 


VENTURA, CA 


1.121 


1.066 


0.055 


5.2 


00570 


01 


DELAWARE 


1.063 


1.009 


0.054 


5.4 


02050 


26 


ANAHEIM/SANTA ANA, CA 


1.180 


1.126 


0.054 


4.8 


00860 


03 


SOUTHERN NJ 


1.074 


1.026 


0.048 


4.7 


14330 


04 


QUEENS, NY 


1.293 


1.245 


0.048 


3.9 


00900 


28 


FORT WORTH, TX 


0.977 


0.933 


0.044 


4.7 


00803 


03 


POUGHKPSIE/N NYC SUBURBS, NY 


1.014 


0.972 


0.042 


4.3 


00542 


01 


N. COASTAL CNTYS, CA 


1.079 


1.037 


0.042 


4.1 


01040 


04 


REST OF GA 


0.875 


0.839 


0.036 


4.3 


05535 


00 


NORTH CAROLINA 


0.924 


0.891 


0.033 


3.7 


00590 


04 


MIAMI, FL 


1.044 


1.013 


0.031 


3.1 


01040 


02 


SMALL GA CITIES 02 


0.925 


0.894 


0.031 


3.5 


00542 


06 


SAN MATEO, CA 


1.290 


1.259 


0.031 


2.5 


01030 


01 


PHOENIX, AZ 


0.976 


0.945 


0.031 


3.3 


00542 


12 


MONTEREY/SANTA CRUZ, CA 


1.074 


1.045 


0.029 


2.8 


00542 


13 


KINGS/TULARE, CA 


0.992 


0.963 


0.029 


3.0 


00542 


07 


OAKLAND/BERKLEY, CA 


1.277 


1.249 


0.028 


2.2 


00580 


01 


DC +MDA/A SUBURBS 


1.192 


1.165 


0.027 


2.3 


00590 


02 


N/NC FL CITIES 


0.914 


0.888 


0.026 


2.9 


00542 


15 


SAN BERNADINO/E.CTRL CNTYS CA 


1.102 


1.077 


0.025 


2.3 


00590 


01 


REST OF FLORIDA 


0.879 


0.855 


0.024 


2.8 



A-I-20 



7 



APPENDIX 1-4 

DIFFERENCE BETWEEN 1996 RESCALED EMPLOYEE WAGE INDEX AND 1992 EMPLOYEE WAGE INDEX BY 
\/IEDICARE PAYMENT LOCALITY, RANKED IN DESCENDING ORDER OF DIFFERENCE 



Rescaled 



Carrier 


Locaiity 




1996 Employee 


1992 Employee 




Percer 


Number 


Number 


Local itv Name 


Waae Index 


Waae Index 


Chanae 


Ghana 


01290 


02 


RENO, ET AL. (CITIES), NV 


1.082 


1.060 


0.022 


2.1 


01030 


99 


REST OF AZ 


0.933 


0.912 


0.021 


2.3 


00542 


03 


MARIN/NAPA/SOLANO, CA 


1.183 


1.163 


0.020 


1.7 


02050 


18 


LOS ANGELES (1ST OF 8) 


1.204 


1.185 


0.019 


1.6 


02050 


19 


LOS ANGELES (2ND OF 8) 


1.204 


1.185 


0.019 


1.6 


02050 


20 


LOS ANGELES (3RD OF 8) 


1.204 


1.185 


0.019 


1.6 


02050 


21 


LOS ANGELES (4TH OF 8) 


1.204 


1.185 


0.019 


1.6 


02050 


22 


LOS ANGELES (5TH OF 8) 


1.204 


1.185 


0.019 


1.6 


02050 


23 


LOS ANGELES (6TH OF 8) 


1.204 


1.185 


0.019 


1.6 


02050 


24 


LOS ANGELES (7TH OF 8) 


1.204 


1.185 


0.019 


0.0 


02050 


25 


LOS ANGELES (8TH OF 8) 


1.204 


1.185 


0.019 


1.6 


16510 


18 


EASTERN VALLEY, WV 


0.918 


0.902 


0.016 


1.8 


00542 


08 


STOCKTON/SURR. CNTYS , CA 


1.088 


1.073 


0.015 


1.4 


00542 


04 


SACRAMENTO/SURR. CNTYS, CA 


1.125 


1.110 


0.015 


1.4 


00690 


01 


BALTIMORE/SURR. CNTYS, MD 


1.088 


1.074 


0.014 


1.3 


00900 


11 


DALLAS, TX 


1.035 


1.022 


0.013 


1.3 


00880 


01 


SOUTH CAROLINA 


0.888 


0.875 


0.013 


1.5 


00801 


03 


N. CENTRAL CITIES, NY 


0.968 


0.956 


0.012 


1.3 


00720 


00 


MINNESOTA (BLUE SHIELD) 


0.981 


0.969 


0.012 


1.2 


10240 


00 


MINNESOTA (TRAVELERS) 


0.981 


0.969 


0.012 


1.2 


00900 


29 


ABILENE, TX 


0.831 


0.819 


0.012 


1.5 


01040 


03 


SMALL GA CITIES 03 


0.873 


0.864 


C.009 


1.0 


00542 


10 


MERCED/SURR.CNTYS, CA 


1.005 


0.996 


0.009 


0.9 


01120 


01 


HAWAII/GUAM 


1.055 


1.051 


0.004 


0.4 


01030 


02 


TUCSON, AZ 


0.915 


0.913 


0.002 


0.2 


05440 


35 


TENNESSEE 


0.897 


0.896 


0.001 


0.1 


00542 


11 


FRESNO/MADERA, CA 


1.017 


1.017 


0.000 


0.0 


00900 


06 


TEMPLE, TX 


0.870 


0.870 


0.000 


0.0 


00900 


21 


LUBBOCK, TX 


0.867 


0.869 


->..002 


-0.2 


00951 


15 


MADISON (DANE CNTY), Wl 


0.984 


0.987 


-O.003 


-0.3 


00900 


31 


AUSTIN, TX 


0.924 


0.927 


-0.003 


-0.3 


00801 


04 


REST OF NEW YORK 


0.927 


0.931 


-0.004 


-0.4 


00900 


26 


AMARILLO, TX 


0.896 


0.901 


-0.005 


-0.6 


10490 


04 


REST OF VA 


0.881 


0.887 


-0.006 


-0.7 


00900 


27 


TYLER, TX 


0.893 


0.899 


-0.006 


-0.7 


00900 


13 


ODESSA, TX 


0.914 


0.921 


-0.007 


-0.8 


00740 


05 


KANSAS CITY, KANSAS 


0.980 


0.988 


-0.008 


-0.8 


00740 


04 


SUBURBAN KANSAS CITY, KANSAS 


0.980 


0.988 


-0.008 


-0.8 


00740 


03 


K.C. (JACKSON CNTY), MO 


0.980 


0.988 


-0.008 


-0.8 


00740 


02 


N K.C. (CLAY/PLATTE), MO 


0.980 


0.988 


-0.008 


-0.8 


00542 


02 


NE RURAL, CA 


0.979 


0.992 


-0.013 


-1.3 


00900 


32 


VICTORIA, TX 


0.852 


0.867 


-0.015 


-1.7 


00542 


27 


RIVERSIDE, CA 


1.064 


1.080 


-0.016 


-1.5 


10490 


03 


SM TOWN/INDUSTRIAL VA 


0.873 


0.891 


-0.018 


-2.0 


00510 


05 


BIRMINGHAM, AL 


0.929 


0.947 


-0.018 


-1.9 



A-I-21 



I 



APPENDIX 1-4 

DIFFERENCE BETWEEN 1996 RESCALED EMPLOYEE WAGE INDEX AND 1992 EMPLOYEE WAGE INDEX BY 
MEDICARE PAYMENT LOCALITY, RANKED IN DESCENDING ORDER OF DIFFERENCE 

Rescaled 



Carrier 


Locality 




1996 Employee 


1992 Employee 




Percen 


Number 


Number 


Localitv Name 


Waae Index 


Waae Index 


Chanae 


Chanq 


00528 


01 


NEW ORLEANS, LA 


0.981 


0.999 


-0.018 


-1.8 


00660 


01 


LEXINGTON & LOUISVILLE, KY 


0.916 


0.935 


-0.019 


-2.0 


00900 


09 


BRAZORIA, TX 


0.940 


0.960 


-0.020 


-2.1 


00865 


02 


LG PA CITIES 


1.006 


1.026 


-0.020 


-1.9 


00740 


01 


ST JOSEPH, MO 


0.853 


0.873 


-0.020 


-2.3 


00542 


14 


BAKERSFIELD . CA 


1.033 


1.053 


-0.020 


-1.9 


00801 


01 


BUFFALO/SURR. CNTYS, NY 


0.942 


0.963 


-0.021 


-2.2 


00621 


12 


EAST ST. LOUIS, IL 


0.956 


0.977 


-0.021 


-2.1 


01390 


02 


SEATTLE (KING CNTY), WA 


1.098 


1.123 


-0.025 


-2.2 


00900 


07 


SAN ANTONIO, TX 


0.894 


0.919 


-0.025 


-2.7 


00550 


01 


COLORADO 


0.956 


0.982 


-0.026 


-2.6 


00621 


09 


SPRINGFIELD, IL 


0.963 


0.990 


-0.027 


-2.7 


00528 


04 


LAKE CHARLES, LA 


0.923 


0.951 


-0.028 


-2.9 


01360 


05 


NEW MEXICO 


0.875 


0.903 


-0.028 


-3.1 


00520 


13 


ARKANSAS 


0.827 


0.857 


-0.030 


-3.5 


00510 


01 


NORTHWEST AL 


0.849 


0.880 


-0.031 


-3.5 


00820 


02 


SOUTH DAKOTA 


0.801 


0.832 


-0.031 


-3.7 


01370 


00 


OKLAHOMA 


0.882 


0.914 


-0.032 


-3.5 


00865 


04 


REST OF PA 


0.903 


0.935 


-0.032 


0.0 


01380 


01 


PORTLAND, ET AL. (CITIES), OR 


1.048 


1.082 


-0.034 


-3.1 


00650 


01 


REST OF KANSAS 


0.860 


0.896 


-0.036 


-4.0 


00528 


05 


MONROE, LA 


0.843 


0.880 


-0.037 


-4.2 


00900 


22 


WACO, TX 


0.830 


0.869 


-0.039 


-4.5 


00900 


14 


EL PASO, TX 


0.844 


0.883 


-0.039 


-4.4 


01390 


03 


E CNTRL & NE WA 


0.961 


1.0C1 


-0.040 


-4.0 


01290 


99 


REST OF NEVADA 


1.007 


1.047 


-0.040 


-3.8 


01030 


08 


YUMA, AZ 


0.863 


0.904 


-0.041 


-4.5 


16360 


00 


OHIO 


0.966 


1.007 


-0.041 


-4.1 


00630 


02 


URBAN IN 


0.875 


0.917 


-0.042 


-4.6 


01U30 


05 


FLAGSTAFF, AZ 


0.860 


0.904 


-0.044 


-4.9 


01030 


07 


PRESCOTT, AZ 


0.860 


0.904 


-0.044 


-4.9 


10490 


02 


TIDEWATER & N VA CNTYS 


0.920 


0.964 


-0.044 


-4.6 


00951 


19 


LA CROSSE (W CNTRL), Wl 


0.868 


0.912 


-0.044 


-4.8 


11260 


01 


ST. LOUIS/LG E. CITIES, MO 


0.937 


0.981 


-0.044 


-4.5 


01290 


01 


LAS VEGAS, ET AL. (CITIES), NV 


1.009 


1.053 


-0.044 


-4.2 


00900 


30 


SAN ANGELO, TX 


0.808 


0.852 


-0.044 


-5.2 


00655 


00 


NEBRASKA 


0.828 


0.873 


-0.045 


-5.2 


00865 


03 


SM PA CITIES 


0.916 


0.961 


-0.045 


-4.7 


00973 


20 


PUERTO RICO 


0.499 


0.545 


-0.046 


-8.4 


01380 


12 


SW OR CITIES (CITY LIMITS) 


0.907 


0.954 


-0.047 


-4.9 


01290 


03 


ELKO & ELY (CITIES), NV 


0.975 


1.022 


-0.047 


-4.6 


00820 


01 


NORTH DAKOTA 


0.839 


0.887 


-0.048 


-5.4 


00900 


19 


MC ALLEN. TX 


0.773 


0.821 


-0.048 


-5.8 


00951 


40 


GREEN BAY (NORTHEAST), Wl 


0.895 


0.944 


-0.049 


-5.2 


00630 


03 


REST OF IN 


0.868 


0.917 


-0.049 


-5.3 



A-I-22 



APPENDIX 1-4 

DIFFERENCE BETWEEN 1996 RESCALED EMPLOYEE WAGE INDEX AND 1992 EMPLOYEE WAGE INDEX BY 
MEDICARE PAYMENT LOCALITY, RANKED IN DESCENDING ORDER OF DIFFERENCE 



Carrier 


Locality 




Number 


Number 


Locality Name 


00951 


54 


JANESVILLE (S CNTRL), Wl 


00900 


24 


CORPUS CHRISTI, TX 


05130 


11 


SOUTH IDAHO 


00510 


02 


NORTH CENTRAL AL 


00900 


33 


LAREDO, TX 


00900 


08 


TEXARKANA, TX 


00528 


07 


ALEXANDRIA, LA 


00801 


02 


ROCHESTER/SURR. CNTYS, NY 


01390 


01 


W & SE WA (EXCL SEATTLE) 


00900 


34 


WICHITA FALLS, TX 


00910 


09 


UTAH 


00528 


06 


LAFAYETTE. LA 


16510 


16 


CHARLESTON, WV 


00900 


15 


GALVESTON, TX 


00951 


60 


OSHKOSH (E CNTRL), Wl 


00621 


15 


SUBURBAN CHICAGO, IL 


00900 


16 


GRAYSON, TX 


00740 


06 


RURAL NW COUNTIES, MO 


01380 


02 


EUGENE, ETAL. (CITIES), OR 


00640 


05 


DES MOINES (POLKAA/ARREN), lA 


00528 


50 


REST OF LA 


00510 


04 


MOBILE, AL 


00900 


17 


LONGVIEW, TX 


00640 


01 


SOUTHEAST IOWA 


00640 


02 


NORTHEAST IOWA 


10250 


01 


REST OF MISSISSIPPI 


01380 


03 


SALEM, ET AL. (CITIES), OR 


00900 


04 


WESTERN TX 


00951 


14 


SOUTHWEST Wl 


00951 


13 


CENTRAL Wl 


00900 


18 


HOUSTON, TX 


00900 


20 


BEAUMONT, TX 


00900 


25 


ORANGE. TX 


00510 


03 


SOUTHEAST AL 


10250 


02 


URBAN MISSISSIPPI 


00951 


12 


NORTHWEST Wl 


00528 


03 


BATON ROUGE, LA 


C0621 


16 


CHICAGO, IL 


00630 


01 


METROPOLITAN IN 


00900 


02 


NORTHEAST RURAL TX 


00528 


02 


SHREVEPORT, LA 


05130 


12 


NORTH IDAHO 


00900 


23 


MIDLAND, TX 


00951 


36 


WAUSAU (N CNTRL), Wl 


00951 


04 


MILWAUKEE. Wl 



Rescaled 

1996 Employee 1992 Employee Percent 
Wage Index Wage Index Change Change 



0.862 


0.912 


-0.050 


-5.5 


0.866 


0.916 


-0.050 


-5.5 


0.861 


0.911 


-0.050 


-5.5 


0.844 


0.895 


-0.051 


-5.7 


0.769 


0.821 


-0.052 


-6.3 


0.849 


0.901 


-0.052 


-5.8 


0.848 


0.901 


-0.053 


-5.9 


0.983 


1.038 


-0.055 


-5.3 


0.968 


1 .023 


-0.055 


-5.4 


0.817 


0.872 


-0.055 


-6.3 


0.880 


0.935 


-0.055 


-5.9 


0.871 


0.926 


-0.055 


-5.9 


0.900 


0.955 


-0.055 


-5.8 


0.979 


1.036 


-0.057 


-5.5 


0.880 


0.937 


-0.057 


-6.1 


1.035 


1.093 


-0.058 


-5.3 


0.851 


0.909 


-0.058 


-6.4 


0.809 


0.867 


-0.058 


-6.7 


0.926 


0.984 


-0.058 


-5.9 


0.906 


0.965 


-0.059 


-6.1 


0.857 


0.916 


-0.059 


-6.4 


0.835 


0.894 


-0.059 


-6.6 


0.843 


0.902 


-0.059 


-6.5 


0.872 


0.932 


-0.060 


-6.4 


0.850 


0.910 


-0.060 


-6.6 


0.774 


0.835 


-0.061 


-7.3 


0.924 


0.985 


-0.061 


-6.2 


0.786 


0.848 


-0.062 


-0.1 


0.845 


0.907 


-0.062 


-6.8 


0.845 


0.907 


-0.062 


-6.8 


1.035 


1.098 


-0.063 


-5.7 


0.896 


0.959 


-0.063 


-6.6 


0.896 


0.959 


-0.063 


-6.6 


0.826 


0.890 


-0.064 


-7.2 


0.836 


0.901 


-0.065 


-7.2 


0.854 


0.919 


-0.065 


-7.1 


0.900 


0.965 


-0.065 


-6.7 


1.088 


1.155 


-0.067 


-5.8 


0.942 


1.010 


-0.068 


-6.7 


0.819 


0.888 


-0.069 


-7.8 


0.893 


0.962 


-0.069 


-7.2 


0.826 


0.895 


-0.069 


-7.7 


0.914 


0.984 


-0.070 


-7.1 


0.847 


0.918 


-0.071 


-7.7 


1.002 


1.074 


-0.072 


-6.7 



A-I-23 



) 
) 



APPENDIX 1-4 

DIFFERENCE BETWEEN 1996 RESCALED EMPLOYEE WAGE INDEX AND 1992 EMPLOYEE WAGE INDEX BY 
MEDICARE PAYMENT LOCALITY, RANKED IN DESCENDING ORDER OF DIFFERENCE 



Rescaled 



Carrier 


Locality 




1996 Employee 


1992 Employee 




Percent 


Number 


Number 


Locality Name 


Wage Index 


Waqe index 


Chanqe 


Chanqe 


11260 


03 


REST OF MO 


0.769 


0.843 


-0.074 


-8.8 


00640 


07 


SOUTHWEST IOWA 


0.824 


0.900 


-0.076 


-8.4 


00825 


21 


WYOMING 


0.880 


0.956 


-0.076 


-7.9 


11260 


02 


SM E. CITIES, MO 


0.757 


0.834 


-0.077 


-9.2 


00900 


03 


SOUTHEAST RURAL TX 


0.826 


0.904 


-0.078 


-8.6 


00510 


06 


REST OF AL 


0.803 


0.881 


-0.078 


-8.9 


16510 


19 


OHIO RIVER VALLEY, WV 


0.817 


0.895 


-0.078 


-8.7 


00640 


06 


NORTHWEST IOWA 


0.804 


0.883 


-0.079 


-8.9 


00751 


01 


MONTANA 


0.839 


0.918 


-0.079 


-8.6 


00690 


03 


SOUTH & E. SHORE MD 


0.936 


1.016 


-0.080 


-7.9 


16510 


20 


SOUTHERN VALLEY, WV 


0.811 


0.893 


-0.082 


-9.2 


00710 


02 


MICHIGAN, NOT DETROIT 


0.954 


1.038 


-0.084 


-8.1 


00660 


03 


REST OF KENTUCKY 


0.812 


0.896 


-0.084 


-9.4 


00900 


10 


BROWNSVILLE, TX 


0.774 


0.859 


-0.085 


-9.9 


00621 


10 


CHAMPAIGN-URBANA, IL 


0.828 


0.920 


-0.092 


-10.0 


00621 


03 


DE KALB, IL 


0.834 


0.927 


-0.093 


-10.0 


00660 


02 


SM CITIES (CITY LIMITS) KY 


0.830 


0.926 


-0.096 


-10.4 


00621 


06 


KANKAKEE, IL 


0.842 


0.941 


-0.099 


-10.5 


00621 


01 


NORTHWEST, IL 


0.810 


0.909 


-0.099 


-10.9 


00621 


11 


DECATUR, IL 


0.849 


0.950 


-0.101 


-10.6 


00640 


03 


NORTH CENTRAL IOWA 


0.812 


0.914 


-0.102 


-11.2 


00640 


04 


S CNTRL lA (EXCL. DES MOINES) 


0.773 


0.878 


-0.105 


-12.0 


01380 


99 


REST OF OREGON 


0.891 


0.996 


-0.105 


-10.5 


00690 


02 


WESTERN MD 


0.923 


1.030 


-0.107 


-10.4 


00973 


50 


VIRGIN ISLANDS 


0.888 


1.000 


-0.112 


-11.2 


00621 


07 


QUINCY. IL 


0.795 


0.909 


-0.114 


-12.5 


00621 


14 


SOUTHERN IL 


0.795 


0.909 


-0.114 


-12.5 


00621 


13 


SOUTHEAST IL 


0.795 


0.909 


-0.114 


-12.5 


00621 


02 


ROCKFORD, IL 


0.921 


1.037 


-0.116 


-11.2 


00621 


08 


NORMAL, IL 


0.877 


0.995 


-0.118 


-11.9 


16510 


17 


WHEELING, WV 


0.801 


0.920 


-0.119 


-12.9 


00710 


01 


DETROIT, Ml 


1.075 


1.196 


-0.121 


-10.1 


00621 


04 


ROCK ISLAND, IL 


0.843 


0.976 


-0.133 


-13.6 


00900 


12 


DENTON, TX 


0.875 


1.022 


-0.147 


-14.4 


00951 


46 


MILWAUKEE SUBURBS (SE), Wl 


0.920 


1.075 


-0.155 


-14.4 


01020 


01 


ALASKA 


1.268 


1.437 


-0.169 


-11.8 


00621 


05 


PEORIA, IL 


0.904 


1.085 


-0.181 


-0.2 



A-I-24 



PARTIL 
OFFICE RENTAL INDEX 



APPENDIX 11-4 



DIFFERENCE BETWEEN 1996 RESCALED OFFICE RENT INDEX AND 1992 OFFICE RENT INDEX BY MEDICARE 
PAYMENT LOCALITY, RANKED IN DESCENDING ORDER OF DIFFERENCE 



Rescaled 



Carrier 


Locality 




1996 Office 


1992 Office 




Percent 


Number 


Number 


Locality Name 


Rent Index 


Rent index 


Chanae 


Change 


01120 


01 


HAWAII/GUAM 


1.787 


1.268 


0.519 


40.9 % 


10230 


02 


SW CT 


1.666 


1.397 


0.269 


19.3 


00803 


01 


MANHATTAN, NY 


1.832 


1.578 


0.254 


16.1 


00590 


04 


MIAMI, FL 


1.278 


1.071 


0.207 


19.3 


00803 


03 


POUGHKPSIE/N NYC SUBURBS, NY 


1.299 


1.104 


0.195 


17.7 


02050 


17 


VENTURA, CA 


1.575 


1.384 


0.191 


13.8 


00860 


02 


MIDDLE NJ 


1.439 


1.248 


0.191 


15.3 


00860 


01 


NORTHERN NJ 


1.509 


1.339 


0.170 


12.7 


00900 


18 


HOUSTON, TX 


0.965 


0.796 


0.169 


21.2 


01030 


05 


FLAGSTAFF, AZ 


0.967 


0.814 


0.153 


18.8 


01390 


02 


SEATTLE (KING CNTY), WA 


1.151 


1.002 


0.149 


14.9 


00900 


12 


DENTON, TX 


1.007 


0.863 


0.144 


16.7 


00860 


03 


SOUTHERN NJ 


1.210 


1.072 


0.138 


12.9 


10230 


03 


S. CNTRL CT 


1.460 


1.329 


0.131 


9.9 


00900 


11 


DALLAS, TX 


0.991 


0.863 


0.128 


14.8 


00542 


12 


MONTEREY/SANTA CRUZ, CA 


1.452 


1.327 


0.125 


9.4 


00590 


03 


FORT LAUDERDALE, FL 


1.153 


1.035 


0.118 


11.4 


00590 


01 


REST OF FLORIDA 


0.847 


0.737 


0.110 


14.9 


02050 


16 


SANTA BARBARA, CA 


1.352 


1.247 


0.105 


8.4 


01030 


08 


YUMA, AZ 


0.917 


0.814 


0.103 


12.7 


00621 


15 


SUBURBAN CHICAGO, IL 


1.315 


1.219 


0.096 


7.9 


00973 


50 


VIRGIN ISLANDS 


1.090 


1.000 


0.090 


9.0 


00580 


01 


DC +MDA/A SUBURBS 


1.460 


1.374 


0.086 


6.3 


00951 


15 


MADISON (DANE CNTY), Wl 


1.026 


0.942 


0.084 


8.9 


00870 


01 


RHODE ISLAND 


1.135 


1.058 


0.077 


7.3 


00900 


31 


AUSTIN, TX 


1.06: 


0.988 


0.074 


7.5 


00900 


09 


BRAZORIA, TX 


0.958 


0.893 


0.065 


7.3 


00900 


15 


GALVESTON, TX 


0.898 


0.834 


0.064 


7.7 


00900 


22 


WACO, TX 


0.780 


0.717 


0.063 


8.8 


00900 


28 


FORT WORTH, TX 


0.925 


0.863 


0.062 


7.2 


01030 


07 


PRESCOTT, AZ 


0.870 


0.814 


0.056 


6.9 


21200 


03 


SOUTHERN MAINE 


1.135 


1.080 


0.055 


5.1 


00880 


01 


SOUTH CAROLINA 


0.775 


0.720 


0.055 


7.6 


02050 


18 


LOS ANGELES (1ST OF 8) 


1.497 


1.449 


0.048 


3.3 


02050 


19 


LOS ANGELES (2ND OF 8) 


1.497 


1.449 


0.048 


3.3 


02050 


20 


LOS ANGELES (3RD OF 8) 


1.497 


1.449 


0.048 


3.3 


02050 


21 


LOS ANGELES (4TH OF 8) 


1.49/ 


1.449 


0.048 


3.3 


02050 


22 


LOS ANGELES (5TH OF 8) 


1.497 


1.449 


0.048 


3.3 


02050 


23 


LOS ANGELES (6TH OF 8) 


1.497 


1.449 


0.048 


3.3 


02050 


24 


LOS ANGELES (7TH OF 8) 


1.497 


1.449 


0.048 


3.3 


02050 


25 


LOS ANGELES (8TH OF 8) 


1.497 


1.449 


0.048 


3.3 


00951 


46 


MILWAUKEE SUBURBS (SE). Wl 


0.964 


0.921 


0.043 


4.7 


00900 


33 


LAREDO, TX 


0.771 


0.733 


0.038 


5.2 


00900 


14 


EL PASO, TX 


0.820 


0.783 


0.037 


4.7 


00510 


01 


NORTHWEST AL 


0.731 


0.697 


0.034 


4.9 



A-II-28 



7 



APPENDIX 11-4 

DIFFERENCE BETWEEN 1996 RESCALED OFFICE RENT INDEX AND 1992 OFFICE RENT INDEX BY MEDICARE 
PAYMENT LOCALITY. RANKED IN DESCENDING ORDER OF DIFFERENCE 



Rescaled 



Carrier 


Locality 




1996 Office 


1992 Office 




Percent 


Number 


Number 


Locality Name 


Rent Index 


Rent Index 


Chanae 


Chanae 


00900 


21 


LUBBOCK, TX 


0.787 


0.754 


0.033 


4.4 


00780 


50 


VERMONT 


0.997 


0.965 


0.032 


3.3 


10490 


01 


RICHMOND & CHARLOTTESVILLE, VA 


0.930 


0.898 


0.032 


3.6 


00801 


03 


N. CENTRAL CITIES, NY 


0.917 


0.887 


0.030 


3.4 


00865 


02 


LG PA CITIES 


0.998 


0.968 


0.030 


3.1 


00510 


03 


SOUTHEAST AL 


0.708 


0.679 


0.029 


4.3 


00590 


02 


N/NC FL CITIES 


0.942 


0.913 


0.029 


3.2 


00542 


08 


STOCKTON/SURR. CNTYS , CA 


1.023 


0.996 


0.027 


2.7 


10490 


03 


SM TOWN/INDUSTRIAL VA 


0.789 


0.763 


0.026 


3.4 


10230 


04 


EASTERN CT 


1.218 


1.193 


0.025 


0.0 


00542 


01 


N. COASTAL CNTYS, CA 


1.232 


1.209 


0.023 


1.9 


00820 


02 


SOUTH DAKOTA 


0.741 


0.718 


0.023 


3.2 


00951 


54 


JANESVILLE (S CNTRL), Wl 


0.801 


0.779 


0.022 


2.8 


00542 


05 


SAN FRANCISCO, CA 


1.750 


1.730 


0.020 


1.2 


10230 


01 


NW AND N. CNTRL CT 


1.253 


1.233 


0.020 


1.6 


16510 


18 


EASTERN VALLEY, WV 


0.727 


0.707 


0.020 


2.8 


01040 


02 


SMALL GA CITIES 02 


0.788 


0.769 


0.019 


2.5 


01040 


03 


SMALL GA CITIES 03 


0.738 


0.719 


0.019 


2.6 


05535 


00 


NORTH CAROLINA 


0.792 


0.773 


0.019 


2.5 


00900 


07 


SAN ANTONIO, TX 


0.873 


0.858 


0.015 


1.7 


00630 


02 


URBAN IN 


0.783 


0.771 


0.012 


1.6 


00900 


08 


TEXARKANA, TX 


0.728 


0.716 


0.012 


1.7 


00520 


13 


ARKANSAS 


0.689 


0.683 


0.006 


0.9 


00900 


03 


SOUTHEAST RURAL TX 


0.763 


0.757 


0.006 


0.8 


00865 


01 


PHILLY/PITT MED SHCLS/HOSPS, PA 


0.990 


0.985 


0.005 


0.5 


00655 


00 


NEBRASKA 


0.761 


0.757 


0.004 


0.5 


00542 


06 


SAN MATEO, CA 


1.733 


1.730 


0.003 


0.2 


00801 


04 


REST OF NEW YORK 


0.865 


0.862 


0.003 


0.3 


00510 


05 


BIRMINGHAM, AL 


0.762 


0.761 


0.001 


0.1 


16360 


00 


OHIO 


0.813 


0.814 


-0.001 


-0.1 


00528 


04 


LAKE CHARLES, LA 


0.728 


0.732 


-0.004 


-0.5 


00801 


01 


BUFFALO/SURR. CNTYS, NY 


0.835 


0.842 


-0.007 


-0.8 


21200 


02 


CENTRAL MAINE 


0.846 


0.854 


-0.008 


-0.9 


00630 


01 


METROPOLITAN IN 


0.841 


0.852 


-0.011 


-1.3 


00640 


05 


DES MOINES (POLK/WARREN), lA 


0.913 


0.925 


-0.012 


-1.3 


00801 


02 


ROCHESTER/SURR. CNTYS, NY 


0.996 


1.008 


-0.012 


-1.2 


00621 


10 


CHAMPAIGN-URBANA, IL 


0.810 


0.823 


-0.013 


-1.6 


05440 


35 


TENNESSEE 


0.758 


0.771 


-0.013 


-1.7 


00510 


02 


NORTH CENTRAL AL 


0.650 


0.666 


-0.016 


-2.4 


00621 


16 


CHICAGO, IL 


1.177 


1.193 


-0.016 


-1.3 


00528 


05 


MONROE, LA 


0.717 


0.735 


-0.018 


-2.4 


00900 


02 


NORTHEAST RURAL TX 


0.717 


0.735 


-0.018 


-2.4 


01390 


01 


W & SE WA (EXCL SEATTLE) 


0.921 


0.939 


-0.018 


-1.9 


00951 


40 


GREEN BAY (NORTHEAST), Wl 


0.743 


0.762 


-0.019 


-2.5 


00710 


01 


DETROIT, Ml 


1.033 


1.053 


-0.020 


-1.9 



A-II-29 



APPENDIX II-4 



DIFFERENCE BETWEEN 1996 RESCALED OFFICE RENT INDEX AND 1992 OFFICE RENT INDEX BY MEDICARE 
PAYMENT LOCALITY, RANKED IN DESCENDING ORDER OF DIFFERENCE 



Rescaled 



Carrier 


Locality 




1996 Office 


1992 Office 




Percent 


Number 


Number 


Locality Name 


Rent Index 


Rent Index 


Chanqe 


Chanqe 


01030 


99 


REST OF AZ 


0.897 


0.918 


-0.021 


-2.3 


00951 


04 


MILWAUKEE, Wl 


0.908 


0.929 


-0.021 


-2.3 


00570 


01 


DELAWARE 


1.029 


1.051 


-0.022 


-2.1 


00690 


03 


SOUTH & E. SHORE MD 


0.991 


1.015 


-0.024 


-2.4 


11260 


02 


SM E. CITIES, MO 


0.624 


0.649 


-0.025 


-3.9 


00803 


02 


NYC SUBURBS/LONG 1., NY 


1.539 


1.565 


-0.026 


-1.7 


01040 


04 


REST OF GA 


0.625 


0.653 


-0.028 


-4.3 


00650 


01 


REST OF KANSAS 


0.733 


0.761 


-0.028 


-3.7 


00710 


02 


MICHIGAN, NOT DETROIT 


0.814 


0.843 


-0.029 


-3.4 


00900 


06 


TEMPLE, TX 


0.743 


0.773 


-0.030 


-3.9 


10250 


01 


REST OF MISSISSIPPI 


0.613 


0.646 


-0.033 


-5.1 


00621 


06 


KANKAKEE, IL 


0.776 


0.810 


-0.034 


-4.2 


00951 


60 


OSHKOSH (E CNTRL), Wl 


0.733 


0.767 


-0.034 


-4.4 


00973 


20 


PUERTO RICO 


0.752 


0.787 


-0.035 


-4.4 


00640 


04 


S CNTRL lA (EXCL. DES MOINES) 


0.707 


0.743 


-0.036 


-4.8 


00690 


01 


BALTIMORE/SURR. CNTYS, MD 


1.005 


1.042 


-0.037 


-3.6 


00951 


36 


WAUSAU (N CNTRL), Wl 


0.708 


0.746 


-0.038 


-5.1 


00660 


01 


LEXINGTON & LOUISVILLE, KY 


0.752 


0.791 


-0.039 


-4.9 


00528 


07 


ALEXANDRIA, LA 


0.698 


0.738 


-0.040 


-0.1 


00510 


06 


REST OF AL 


0.588 


0.629 


-0.041 


-6.5 


00630 


03 


REST OF IN 


0.699 


0.741 


-0.042 


-5.7 


00542 


27 


RIVERSIDE. CA 


1.134 


1.177 


-0.043 


-3.7 


00900 


10 


BROWNSVILLE, TX 


0.752 


0.795 


-0.043 


-5.4 


00900 


16 


GRAYSON, TX 


0.731 


0.776 


-0.045 


-5.8 


10490 


02 


TIDEWATER & N VA CNTYS 


0.985 


1.031 


-0.046 


-4.5 


00720 


00 


MINNESOTA (BLUE SHIELD) 


0.889 


0.937 


-0.048 


-5.1 


10240 


00 


MINNESOTA (TRAVELERS) 


0.889 


0.937 


-0.048 


-5.1 


10250 


02 


URBAN MISSISSIPPI 


0.731 


0.785 


-0.054 


-6.9 


01360 


05 


NEW MEXICO 


0.812 


0.867 


-0.055 


-6.3 


00865 


03 


SM PA CITIES 


0.802 


0.857 


-0.055 


-6.4 


00528 


50 


REST OF LA 


0.630 


0.686 


-0.056 


-8.2 


00740 


05 


KANSAS CITY, KANSAS 


0.828 


0.885 


-0.057 


-6.4 


00740 


04 


SUBURBAN KANSAS CITY, KANSAS 


0.828 


0.885 


-0.057 


-6.4 


00740 


03 


K.C. (JACKSON CNTY), MO 


0.828 


0.885 


-0.057 


-6.4 


00740 


02 


N K.C. (CLAY/PLATTE), MO 


0.828 


0.885 


-0.057 


-6.4 


00740 


06 


RURAL NW COUNTIES, MO 


0.644 


0.702 


-0.058 


-8.3 


01380 


12 


SW OR CITIES (CITY LIMITS) 


0.962 


1.020 


-0.058 


-5.7 


00542 


03 


MARIN/NAPA/SOLANO, CA 


1.425 


1.485 


-0.060 


-4.0 


00640 


07 


SOUTHWEST IOWA 


0.719 


0.780 


-0.061 


-7.8 


11260 


03 


REST OF MO 


0.606 


0.668 


-0.062 


-9.3 


10490 


04 


REST OF VA 


0.693 


0.756 


-0.063 


-8.3 


01040 


01 


ATU\NTA, GA 


1.019 


1.083 


-0.064 


-5.9 


00660 


02 


SM CITIES (CITY LIMITS) KY 


0.671 


0.735 


-0.064 


-8.7 


00740 


01 


ST JOSEPH, MO 


0.634 


0.698 


-0.064 


-9.2 


00542 


09 


SANTA CLARA, CA 


1.653 


1.719 


-0.066 


-3.8 



A-II-30 



1^ 



4 

APPENDIX 11-4 

DIFFERENCE BETWEEN 1996 RESCALED OFFICE RENT INDEX AND 1992 OFFICE RENT INDEX BY MEDICARE 
PAYMENT LOCALITY, RANKED IN DESCENDING ORDER OF DIFFEr^ENCE 



Rescaled 



Carrier 


Locality 




1996 Office 


1992 Office 




Percent 


Number 


Number 


Locality Name 


Rent Index 


Rent Index 


Chanqe 


Chanqe 


00900 


04 


WESTERN TX 


0.612 


0.679 


-0.067 


-9.9 


21200 


01 


NORTHERN MAINE 


0.815 


0.883 


-0.068 


-7.7 


00780 


40 


NEW HAMPSHIRE 


1.102 


1.170 


-0.068 


-5.8 


00640 


06 


NORTHWEST IOWA 


0.697 


0.766 


-0.069 


-9.0 


00621 


03 


DE KALB, IL 


0.755 


0.830 


-0.075 


-9.0 


16510 


17 


WHEELING, WV 


0.675 


0.751 


-0.076 


-10.1 


01380 


01 


PORTLAND, ET AL. (CITIES), OR 


0.923 


1.002 


-0.079 


-7.9 


00951 


14 


SOUTHWEST Wl 


0.647 


0.726 


-0.079 


-10.9 


00640 


01 


SOUTHEAST IOWA 


0.772 


0.852 


-0.080 


-9.4 


01290 


03 


ELKO & ELY (CITIES), NV 


0.984 


1.064 


-0.080 


-7.5 


00621 


01 


NORTHWEST, IL 


0.670 


0.751 


-0.081 


-10.8 


00900 


26 


AMARILLO, TX 


0.698 


0.779 


-0.081 


-10.4 


01370 


00 


OKLAHOMA 


0.717 


0.799 


-0.082 


-10.3 


00951 


13 


CENTRAL Wl 


0.644 


0.726 


-0.082 


-11.3 


00820 


01 


NORTH DAKOTA 


0.696 


0.779 


-0.083 


-10.7 


00900 


19 


MC ALLEN, TX 


0.709 


0.792 


-0.083 


-10.5 


00542 


04 


SACRAMENTO/SURR. CNTYS, CA 


1.077 


1.163 


-0.086 


-7.4 


00700 


02 


MASS SUBURBS/RURAL CITIES 


1.186 


1.272 


-0.086 


-6.8 


00621 


09 


SPRINGFIELD, IL 


0.803 


0.890 


-0.087 


-9.8 


00900 


34 


WICHITA FALLS, TX 


0.717 


0.805 


-0.088 


-10.9 


00865 


04 


REST OF PA 


0.748 


0.837 


-0.089 


-10.6 


02050 


26 


ANAHEIM/SANTA ANA, CA 


1.528 


1.618 


-0.090 


-5.6 


00542 


10 


MERCED/SURR.CNTYS, CA 


0.945 


1.038 


-0.093 


-9.0 


14330 


04 


QUEENS, NY 


1.485 


1.578 


-0 093 


-5.9 


16510 


19 


OHIO RIVER VALLEY. WV 


0.622 


0.718 


-0.096 


-13.4 


00621 


12 


EAST ST. LOUIS, IL 


0.785 


0.882 


-0.097 


-11.0 


00640 


02 


NORTHEAST IOWA 


0.732 


0.830 


-0.098 


-11.8 


00951 


19 


LA CROSSE (W CNTRL), Wl 


0.726 


0.829 


-0.103 


-0.1 


00550 


01 


COLORADO 


0.872 


0.981 


-b ;09 


-11.1 


00621 


11 


DECATUR, IL 


0.695 


0.805 


-0.(10 


-13.7 


00528 


02 


SHREVEPORT, LA 


0.726 


0.837 


-0.111 


-13.3 


00542 


15 


SAN BERNADINO/E.CTRL CNTYS CA 


1.060 


1.172 


-0.112 


-9.6 


00951 


12 


NORTHWEST Wl 


0.634 


0.746 


-0.112 


-15.0 


01020 


01 


ALASKA 


1.191 


1.304 


-0.113 


-8.7 


05130 


12 


NORTH IDAHO 


0.733 


0.846 


-0.113 


-13.4 


00660 


03 


REST OF KENTUCKY 


0.582 


0.695 


-0.113 


-16.3 


11260 


01 


ST. LOUIS/LG E. CITIES, MO 


0.784 


0.897 


-0.113 


-12.6 


00900 


24 


CORPUS CHRISTI, TX 


0.804 


0.918 


-0.114 


-12.4 


01390 


03 


E CNTRL & NE WA 


0.835 


0.950 


-0.115 


-12.1 


02050 


28 


SAN DIEGO/IMPERIAL, CA 


1.194 


1.311 


-0.117 


-8.9 


00700 


01 


URBAN MASS 


1.327 


1.444 


-0.117 


-8.1 


00621 


08 


NORMAL, IL 


0.770 


0.891 


-0 121 


-13.6 


05130 


11 


SOUTH IDAHO 


0.770 


0.893 


-0.123 


-13.8 


00621 


02 


ROCKFORD, IL 


0.888 


1.011 


-0.123 


-12.2 


00825 


21 


WYOMING 


0.714 


0.837 


-0.123 


-14.7 



A-II-31 



5 



APPENDIX 11-4 

DIFFERENCE BETWEEN 1996 RESCALED OFFICE RENT INDEX AND 1992 OFFICE RENT INDEX BY MEDICARE 
PAYMENT LOCALITY, RANKED IN DESCENDING ORDER OF DIFFERENCE 



Reseated 



Carrier 


Locality 




1996 Office 


1992 Office 




Percent 


Number 


Number 


Locality Name 


Rent Index 


Rent Index 


Chanqe 


Chanqe 


00621 


07 


QUINCY, IL 


0.625 


0.751 


-0.126 


-16.8 


00542 


02 


NE RURAL, CA 


0.846 


0.974 


-0.128 


-13.1 


00542 


11 


FRESNO/MADERA, CA 


0.879 


1.010 


-0.131 


-13.0 


00510 


04 


MOBILE, AL 


0.695 


0.827 


-0.132 


-16.0 


00751 


01 


MONTANA 


0.714 


0.847 


-0.133 


-15.7 


00621 


14 


SOUTHERN IL 


0.615 


0.751 


-0.136 


-18.1 


16510 


20 


SOUTHERN VALLEY, WV 


0.562 


0.701 


-0.139 


-19.8 


00640 


03 


NORTH CENTRAL IOWA 


0.679 


0.819 


-0.140 


-17.1 


00900 


27 


TYLER, TX 


0.749 


0.893 


-0.144 


-16.1 


01380 


03 


SALEM, ET AL. (CITIES), OR 


0.835 


0.986 


-0.151 


-15.3 


01290 


01 


LAS VEGAS, ET AL. (CITIES), NV 


1.071 


1.223 


-0.152 


-12.4 


00900 


20 


BEAUMONT, TX 


0.738 


0.896 


-0.158 


-17.6 


00900 


25 


ORANGE, TX 


0.738 


0.896 


-0.158 


-17.6 


00690 


02 


WESTERN MD 


0.843 


1.004 


-0.161 


-16.0 


00910 


09 


UTAH 


0.754 


0.917 


-0.163 


-17.8 


00621 


13 


SOUTHEAST IL 


0.585 


0.751 


-0.166 


-22.1 


00542 


07 


OAKLAND/BERKLEY, CA 


1.413 


1.580 


-0.167 


-10.6 


00900 


30 


SAN ANGELO, TX 


0.681 


0.855 


-0.174 


-20.4 


00900 


29 


ABILENE, TX 


0.671 


0.849 


-0.178 


-21.0 


01030 


02 


TUCSON, AZ 


0.905 


1.084 


-0.179 


-16.5 


01290 


99 


REST OF NEVADA 


1.040 


1.221 


-0.181 


-14.8 


00900 


17 


LONGVIEW, TX 


0.700 


0.882 


-0.182 


-20.6 


01380 


02 


EUGENE, ET AL. (CITIES), OR 


0.869 


1.052 


-0.183 


-17.4 


00542 


14 


BAKERSFIELD , CA 


0.913 


1.106 


-0.193 


-17.5 


00528 


03 


BATON ROUGE, LA 


0.733 


0.926 


-0.193 


-20.8 


01380 


99 


REST OF OREGON 


0.801 


0.994 


-0.193 


-19.4 


00528 


01 


NEW ORLEANS, LA 


0.813 


1.011 


-0.198 


-19.6 


00621 


04 


ROCK ISLAND, IL 


0.680 


0.883 


-0.203 


-23.0 


00528 


06 


LAFAYETTE, LA 


0.634 


0.843 


-0.209 


-24.8 


00621 


05 


PEORIA, IL 


0.776 


0.992 


-0.216 


-21.8 


00542 


13 


KINGS/TULARE, CA 


0.829 


1.055 


-0.226 


-21.4 


01030 


01 


PHOENIX, AZ 


0.889 


1.134 


-0.245 


-21.6 


16510 


16 


CHARLESTON, WV 


0.681 


0.926 


-0.245 


-26.5 


00900 


13 


ODESSA, TX 


0.736 


1.008 


-0.272 


-27.0 


00900 


23 


MIDLAND, TX 


0.736 


1.016 


-0.280 


-27.6 


01290 


02 


RENO, ET AL. (CITIES), NV 


1.063 


1.427 


-0.364 


-25.5 


00900 


32 


VICTORIA, TX 


0.709 


1.090 


-0.381 


-35.0 



A-II-32 



PARTnt 



I 



SUPPLIES, EQUIPMENT, AND 
MISCELLANEOUS PRICES 

(no appendices for this section) 



1 



PAKTIV: 
THE PRACTICE EXPENSE GPa 



APPENDIX IV-1 



DIFFERENCE BETWEEN 1996 PRACTICE EXPENSE GPCI WEIGHTED BY RELATIVE VALUE UNITS (RVUs) 
AND POPULATION, BY MEDICARE PAYMENT LOCALITY, RANKED IN DESCENDING ORDER OF DIFFERENCE 









RVU- 


Pop- 












Weighted 


Weighted 












Practice 


Practice 






Coirrier 


Locality 




Expense 


Expense 




Percent 


Number 


Number 


Localitv Name 


GPCI 


GPCI 


Difference 


Difference 


00820 


02 


SOUTH DAKOTA 


0.855 


0.829 


0.026 


3.0 % 


00820 


01 


NORTH DAKOTA 


0.859 


0.837 


0.022 


2.6 


00640 


01 


SOUTHEAST IOWA 


0,891 


0.872 


0.019 


2.1 


01031 


99 


REST OF AZ 


0.947 


0.930 


0.017 


1.8 


00590 


01 


REST OF FLORIDA 


0.913 


0.896 


0.017 


1.9 


00640 


06 


NORTHWEST IOWA 


0.845 


0.829 


0.016 


1.9 


00655 


00 


NEBRASKA 


0.871 


0.856 


0.015 


1.7 


00650 


01 


REST OF KANSAS 


0.876 


0.861 


0.015 


1.7 


05130 


11 


SOUTH IDAHO 


0.886 


0.871 


0.015 


1.7 


00640 


02 


NORTHEAST IOWA 


0.872 


0.860 


0.012 


1.4 


00621 


11 


DECATUR, IL 


0.863 


0.851 


0.012 


1.4 


05440 


35 


TENNESSEE 


0.898 


0.886 


0.012 


1.3 


01370 


00 


OKLAHOMA 


0.881 


0.869 


0.012 


1.4 


00520 


13 


ARKANSAS 


0.852 


0.841 


0.011 


1.3 


00621 


06 


KANKAKEE, IL 


0.830 


0.869 


0.011 


1.3 


00803 


02 


NYC SUBURBS/LONG 1., NY 


1.233 


1.222 


0.011 


0.9 


16510 


18 


EASTERN VALLEY, WV 


0.898 


0.887 


0.011 


1.2 


01360 


05 


NEW MEXICO 


0.902 


0.892 


0.010 


1.1 


00973 


20 


PUERTO RICO 


0.738 


0.729 


0.009 


1.2 


21200 


03 


SOUTHERN MAINE 


1.033 


1.025 


0.008 


0.8 


00951 


40 


GREEN BAY (NORTHEAST), Wl 


0.893 


0.885 


0.008 


0.9 


16360 


00 


OHIO 


0.939 


0.932 


0.007 


0.7 


00640 


03 


NORTH CENTRAL IOWA 


0.844 


0.838 


0.006 


0.7 


16510 


.9 


OHIO RIVER VALLEY, WV 


0.832 


0.826 


0.006 


0.7 


00621 


09 


SPRINGFIELD, IL 


0.935 


0.929 


0.006 


0.6 


00621 


12 


EAST ST. LOUIS, IL 


0.928 


0.922 


0.006 


0.6 


00751 


01 


MONTANA 


0.863 


0.857 


0.006 


0.7 


01390 


03 


E CNTRL & NE WA 


0.942 


0.936 


0.006 


0.6 


00640 


07 


SOUTHWEST IOWA 


0.859 


0.854 


0.005 


0.6 


05535 


00 


NORTH CAROLINA 


0.917 


0.912 


0.005 


0.5 


00781 


50 


VERMONT 


0.987 


0.982 


0.005 


0.5 


01380 


12 


SW OR CITIES (CITY LIMITS) 


0.953 


0.948 


0.005 


0.5 


01120 


01 


HAWAII/GUAM 


1.218 


1.214 


0.004 


0.3 


00621 


14 


SOUTHERN IL 


0.821 


0.817 


0.004 


0.5 


00542 


12 


MONTEREY/SANTA CRUZ, CA 


1.142 


1.139 


0.003 


0.3 


00880 


01 


SOUTH CAROLINA 


0.898 


0.895 


0.003 


0.3 


00542 


01 


N. COASTAL CNTYS, CA 


1.089 


1.086 


0.003 


0.3 


05130 


12 


NORTH IDAHO 


0.863 


0.860 


0.003 


0.3 


00542 


02 


NE RURAL, CA 


0.952 


0.949 


0.003 


0.3 


00542 


03 


MARIN/NAPA/SOLANO, CA 


1.179 


1.176 


0.003 


0.3 


00510 


02 


NORTH CENTRAL AL 


0.849 


0.847 


0.002 


0.2 


00910 


09 


UTAH 


0.890 


0.888 


0.002 


0.2 


00621 


08 


NORMAL, IL 


0.892 


0.890 


0.002 


0.2 



A-IV-1 



2 



APPENDIX IV-1 



DIFFERENCE BETWEEN 1996 PRACTICE EXPENSE GPCI WEIGHTED BY RELATIVE VALUE UNITS (RVUs) 
AND POPULATION, BY MEDICARE PAYMENT LOCALITY, RANKED IN DESCENDING ORDER OF DIFFERENCE 









RVU- 


Pop- 












Weighted 


Weighted 












Practice 


Practice 






Carrier 


Locality 




Expense 


Expense 




Percent 


Number 


Number 


Locaiitv Name 


GPCI 


GPCI 


Difference 


Difference 


00825 


21 


WYOMING 


0.880 


0.878 


0.002 


0.2 


00528 


06 


LAFAYETTE, LA 


0.856 


0.855 


0.001 


0.1 


16510 


16 


CHARLESTON, WV 


0.880 


0.879 


0.001 


0.1 


00803 


03 


POUGHKPSIE/N NYC SUBURBS, NY 


1.080 


1.079 


0.001 


0.1 


00640 


04 


S CNTRL lA (EXCL. DES MOINES) 


0.836 


0.835 


0.001 


0.1 


00621 


07 


QUINCY, IL 


0.823 


0.822 


0.001 


0.1 


00710 


01 


DETROIT, Ml 


1.037 


1.036 


0.001 


0.1 


00710 


02 


MICHIGAN, NOT DETROIT 


0.934 


0.934 


0.000 


0.0 


00542 


10 


MERCED/SURR.CNTYS, CA 


0.987 


0.987 


0.000 


0.0 


00529 


50 


REST OF LA 


0.849 


0.849 


0.000 


0.0 


00621 


13 


SOUTHEAST IL 


0.813 


0.813 


0.000 


0.0 


00951 


14 


SOUTHWEST Wl 


0.849 


0.849 


0.000 


0.0 


16510 


20 


SOUTHERN VALLEY, WV 


0.814 


0.814 


0.000 


0.0 


00510 


03 


SOUTHEAST AL 


0.857 


0.858 


-0.001 


-0.1 


00720 


00 


MINNESOTA (TRAVELERS) 


0.964 


0.965 


-0.001 


-0.1 


10240 


00 


MINNESOTA (BLUE SHIELD) 


0.964 


0.965 


-0.001 


-0.1 


00621 


05 


PEORIA, IL 


0.905 


0.906 


-0.001 


-0.1 


21200 


01 


NORTHERN MAINE 


0.919 


0.920 


-0.001 


-0.1 


11260 


02 


SM E. CITIES, MO 


0.808 


0.809 


-0.001 


-0.1 


00621 


10 


CHAMPAIGN-URBANA, IL 


0.883 


0.884 


-0.001 


-0.1 


00865 


04 


REST OF PA 


0.898 


0.899 


-0.001 


-0.1 


00621 


15 


SUBURBAN CHICAGO. IL 


1.092 


1.094 


-0.002 


-0.2 


16510 


17 


WHEELING, WV 


0.839 


0.841 


-0.002 


-0.2 


00550 


01 


COLORADO 


0.950 


0.y53 


-0.003 


-0.3 


10490 


03 


SM TOWN/INDUSTRIAL VA 


0.896 


0.899 


-0.003 


-0.3 


00801 


02 


ROCHESTER/SURR. CNTYS, NY 


0.991 


0.994 


-0.003 


-0.3 


00952 


60 


OSHKOSH (E CNTRL), Wl 


0.885 


0.888 


-0.003 


-0.3 


00542 


08 


STOCKTON/SURR. CNTYS , CA 


1.040 


1.043 


-0.003 


-0.3 


00700 


01 


URBAN MASS 


1.166 


1.169 


-0.003 


-0.3 


00570 


01 


DELAWARE 


1.031 


1.034 


-0.003 


-0.3 


11260 


03 


REST OF MO 


0.809 


0.812 


-0.003 


-0.4 


00630 


03 


REST OF IN 


0.871 


0.875 


-0.004 


-0.5 


01040 


02 


SMALL GA CITIES 02 


0.916 


0.920 


-0.004 


-0.4 


00801 


01 


BUFFALO/SURR. CNTYS, NY 


0.935 


0.939 


-0.004 


-0.4 


00900 


29 


ABILENE, TX 


0.850 


0.854 


-0.004 


-0.5 


00900 


30 


SAN ANGELO, TX 


0.843 


0.847 


-0.004 


-0.5 


00900 


34 


WICHITA FALLS, TX 


0.856 


0.860 


-0.004 


-0.5 


00951 


13 


CENTRAL Wl 


0.848 


0.852 


-0.004 


-0.5 


01290 


02 


RENO, ET AL. (CITIES), NV 


1.048 


1.052 


-0.004 


-0.4 


00900 


16 


GRAYSON, TX 


0.873 


0.877 


-0.004 


-0.5 


00900 


17 


LONG VIEW, TX 


0.862 


0.866 


-0.004 


-0.5 


00900 


19 


MC ALLEN, TX 


0.836 


0.840 


-0.004 


-0.5 


00900 


04 


WESTERN TX 


0.817 


0.821 


-0.004 


-0.5 



A-IV-2 



i 



APPENDIX IV-1 



DIFFERENCE BETWEEN 1996 PRACTICE EXPENSE GPCI WEIGHTED BY RELATIVE VALUE UNITS (RVUs) 
AND POPULATION, BY MEDICARE PAYMENT LOCALITY, RANKED IN DESCENDING ORDER OF DIFFERENCE 









RVU- 


Pop- 












Weighted 


Weighted 












Practice 


Practice 






Carrier 


Locality 




Expense 


Expense 




Percent 


Number 


Number 


Locality Name 


GPCI 


GPCI 


Difference 


Difference 


00590 


02 


N/NC FL CITIES 


0.951 


0.955 


-0.004 


-0.4 


00951 


12 


NORTHWEST Wl 


0.849 


0.853 


-0.004 


-0.5 


00542 


04 


SACRAMENTO/SURR. CNTYS, CA 


1.068 


1.073 


-0.005 


-0.5 


00860 


03 


SOUTHERN NJ 


1.081 


1.086 


-0.005 


-0.5 


00528 


05 


MONROE, LA 


0.866 


0.871 


-0.005 


-0.6 


00542 


13 


KINGS/TULARE, CA 


0.953 


0.958 


-0.005 


-0.5 


00621 


04 


ROCK ISLAND, IL 


0.857 


0.862 


-0.005 


-0.6 


00740 


01 


ST JOSEPH, MO 


0.849 


0.854 


-0.005 


-0.6 


00900 


08 


TEXARKANA, TX 


0.871 


0.876 


-0.005 


-0.6 


00900 


10 


BROWNSVILLE, TX 


0.847 


0.852 


-0.005 


-0.6 


00510 


04 


MOBILE, AL 


0.857 


0.862 


-0.005 


-0.6 


00528 


02 


SHREVEPORT, LA 


0.888 


0.893 


-0.005 


-0.6 


00528 


04 


LAKE CHARLES, LA 


0.900 


0.905 


-0.005 


-0.6 


00528 


07 


ALEXANDRIA, LA 


0.863 


0.868 


-0.005 


-0.6 


00900 


06 


TEMPLE, TX 


0.883 


0.888 


-0.005 


-0.6 


00900 


14 


EL PASO, TX 


0.892 


0.897 


-0.005 


-0.6 


00900 


21 


LUBBOCK, TX 


0.893 


0.898 


-0.005 


-0.6 


00900 


22 


WACO, TX 


0.876 


0.881 


-0.005 


-0.6 


00900 


24 


CORPUS CHRISTI, TX 


0.897 


0.902 


-0.005 


-0.6 


00900 


26 


AMARILLO. TX 


0.882 


0.887 


-0.005 


-0.6 


00900 


27 


TYLER, TX 


0.893 


0.898 


-0.005 


-0.6 


00900 


32 


VICTORIA, TX 


0.867 


0.872 


-0.0 "5 


-0.6 


00900 


33 


LAREDO, TX 


0.850 


0.855 


-0.005 


-0.6 


01030 


07 


PRESCOTT, AZ 


0.911 


0.916 


-0.005 


-0.5 


01030 


08 


YUMA, AZ 


0.924 


0.929 


-0.005 


-0.5 


00528 


01 


NEW ORLEANS, LA 


0.945 


0.950 


-0.005 


-0.5 


00528 


03 


BATON ROUGE, LA 


0.893 


0.898 


-0.0'^'= 


-0.6 


00640 


05 


DES MOINES (POLK/WARREN), !A 


0.940 


0.945 


-0.005 


-0.5 


00900 


13 


ODESSA, TX 


0.899 


0.904 


-0.005 


-0.6 


00900 


20 


BEAUMONT, TX 


0.892 


0.897 


-0.005 


-0.6 


00900 


23 


MIDLAND, TX 


0.899 


0.904 


-0.005 


-0.6 


00900 


25 


ORANGE, TX 


0.892 


0.897 


-0.005 


-0.6 


01040 


01 


ATLANTA, GA 


1.029 


1.034 


-0.005 


-0.5 


00542 


11 


FRESNO/MADERA, CA 


0.976 


0.981 


-0.005 


-0.5 


02050 


28 


SAN DIEGO/IMPERIAL, CA 


1.076 


1.081 


-0.005 


-0.5 


10490 


01 


RICHMOND & CHARLOTTESVILLE, VA 


0.990 


0.995 


-0.005 


-0.5 


01380 


01 


PORTLAND, ET AL. (CITIES), OR 


0.999 


1.005 


-0.006 


-0.6 


00590 


04 


MIAMI, FL 


1.086 


1.092 


-0.006 


-0.6 


00660 


01 


LEXINGTON & LOUISVILLE, KY 


0.903 


0.909 


-0.006 


-0.7 


00900 


07 


SAN ANTONIO, TX 


0.925 


0.931 


-0.006 


-0.6 


00900 


09 


BRAZORIA, TX 


0.965 


0.971 


-0.006 


-0.6 


00900 


12 


DENTON, TX 


0.951 


0.957 


-0.006 


-0.6 


00974 


50 


VIRGIN ISLANDS 


0.977 


0.983 


-0.006 


-0.6 



A-IV-3 



j 



APPENDIX IV-1 



DIFFERENCE BETWEEN 1996 PRACTICE EXPENSE GPCI WEIGHTED BY RELATIVE VALUE UNITS (RVUs) 
AND POPULATION. BY MEDICARE PAYMENT LOCALITY. RANKED IN DESCENDING ORDER OF DIFFERENCE 









RVU- 


Pop- 












Weighted 


Weighted 












Practice 


Practice 






Carrier 


Locality 




Expense 


Expense 




Percent 


Number 


Number 


Locality Name 


GPCI 


GPCI 


Difference 


Difference 


01030 


02 


TUCSON. AZ 


0.941 


0.947 


-0.006 


-0.6 


01030 


05 


FLAGSTAFF. AZ 


0.935 


0.941 


-0.006 


-0.6 


00900 


15 


GALVESTON. TX 


0.965 


0.971 


-0.006 


-0.6 


00510 


05 


BIRMINGHAM. AL 


0.911 


0.917 


-0.006 


-0.7 


00900 


28 


FORT WORTH. TX 


0.971 


0.977 


-0.006 


-0.6 


00951 


04 


MILWAUKEE. Wl 


0.977 


0.983 


-0.006 


-0.6 


00951 


15 


MADISON (DANE CNTY). Wl 


0.999 


1.005 


-0.006 


-0.6 


01030 


01 


PHOENIX, AZ 


0.962 


0.968 


-0.006 


-0.6 


00740 


02 


N K.C. (CLAY/PLATTE). MO 


0.948 


0.954 


-0.006 


-0.6 


00740 


03 


K.C. (JACKSON CNTY). MO 


0.948 


0.954 


-0.006 


-0.6 


00740 


04 


SUBURBAN KANSAS CITY. KANSAS 


0.948 


0.954 


-0.006 


-0.6 


00740 


05 


KANSAS CITY. KANSAS 


0.948 


0.954 


-0.006 


-0.6 


00900 


31 


AUSTIN. TX 


0.985 


0.991 


-0.006 


-0.6 


01290 


03 


ELKO & ELY (CITIES), NV 


0.985 


0.991 


-0.006 


-0.6 


00801 


03 


N. CENTRAL CITIES. NY 


0.966 


0.972 


-0.006 


-0.6 


00900 


11 


DALU\S. TX 


1.011 


1.017 


-0.006 


-0.6 


00900 


18 


HOUSTON. TX 


1.004 


1.010 


-0.006 


-0.6 


01290 


01 


LAS VEGAS, ET AL. (CITIES), NV 


1.021 


1.027 


-0.006 


-0.6 


00542 


14 


BAKERSFIELD , CA 


0.991 


0.997 


-0.006 


-0.6 


00951 


36 


WAUSAU (N CNTRL), Wl 


0.865 


0.871 


-0.006 


-0.7 


00865 


03 


SM PA CITIES 


0.916 


0.922 


-0.006 


-0.7 


00952 


54 


JANESVILLE (S CNTRL), Wl 


0.894 


0.901 


-0.007 


-0.8 


00860 


01 


NORTHERN NJ 


1.213 


1.220 


-0.007 


-0.6 


00630 


01 


METROPOLITAN IN 


0.936 


0.943 


-0.007 


-0.7 


21200 


02 


CENTRAL MAINE 


0.928 


0.935 


-0.007 


-0.8 


10230 


01 


NW AND N. CNTRL CT 


1.158 


1.165 


-0.007 


-0.6 


o-i^go 


02 


SEATTLE (KING CNTY). WA 


1.076 


1.083 


-0.007 


-0.7 


02050 


16 


SANTA BARBARA. CA 


1.118 


1.125 


-0.007 


-0.6 


00542 


15 


SAN BERNADINO/E.CTRL CNTYS CA 


1.055 


1.062 


-0.007 


-0.7 


00542 


27 


RIVERSIDE. CA 


1.058 


1.065 


-0.007 


-0.7 


00621 


16 


CHICAGO. IL 


1.079 


1.086 


-0.007 


-0.6 


00951 


46 


MILWAUKEE SURBURBS (SE), Wl 


0.958 


0.966 


-0.008 


-0.8 


10490 


04 


REST OF VA 


0.875 


0.883 


-0.008 


-0.9 


00542 


07 


OAKLAND/BERKLEY, CA 


1.213 


1.221 


-0.008 


-0.7 


00870 


01 


RHODE ISLAND 


1.073 


1.081 


-0.008 


-0.7 


10230 


04 


EASTERN CT 


1.131 


1.139 


-0.008 


-0.7 


14330 


04 


QUEENS. NY 


1.238 


1.246 


-0.008 


-0.6 


02050 


18 


LOS ANGELES (1ST OF 8) 


1.205 


1.213 


-0.008 


-0.7 


02050 


19 


LOS ANGELES (2ND OF 8) 


1.205 


1.213 


-0.008 


-0.7 


02050 


20 


LOS ANGELES (3RD OF 8) 


1.205 


1.213 


-0.008 


-0.7 


02050 


21 


LOS ANGELES (4TH OF 8) 


1.205 


1.213 


-0.008 


-0.7 


02050 


22 


LOS ANGELES (5TH OF 8) 


1.205 


1.213 


-0.008 


-0.7 


02050 


23 


LOS ANGELES (6TH OF 8) 


1.205 


1.213 


-0.008 


-0.7 



IV-A-4 



5 



APPENDIX IV-1 



DIFFERENCE BETWEEN 1996 PRACTICE EXPENSE GPCI WEIGHTED BY RELATIVE VALUE UNITS (RVUs) 
AND POPULATION, BY MEDICARE PAYMENT LOCALITY, RANKED IN DESCENDING ORDER OF DIFFERENCE 









RVU- 


Pop- 












Weiglited 


Weighted 












Practice 


Practice 






Carrier 


Locality 




Expense 


Expense 




Percent 


Number 


Number 


Locaiitv Name 


GPCI 


GPCI 


Difference 


Difference 


02050 


24 


LOS ANGELES (7TH OF 8) 


1.205 


1.213 


-0.008 


-0.7 


02050 


25 


LOS ANGELES (8TH OF 8) 


1.205 


1.213 


-0.008 


-0.7 


00510 


06 


REST OF AL 


0.817 


0.825 


-0.008 


-1.0 


10250 


01 


REST OF MISSISSIPPI 


0.812 


0.820 


-0.008 


-1.0 


01040 


04 


REST OF GA 


0.855 


0.864 


-0.009 


-1.1 


02050 


17 


VENTURA, CA 


1.191 


1.200 


-0.009 


-0.8 


02050 


26 


ANAHEIM/SANTA ANA, CA 


1.203 


1.212 


-0.009 


-0.7 


00542 


09 


SANTA CLARA, CA 


1.287 


1.296 


-0.009 


-0.7 


00860 


02 


MIDDLE NJ 


1.136 


1.145 


-0.009 


-0.3 


00542 


06 


SAN MATEO, CA 


1.298 


1.308 


-0.010 


-0.8 


00630 


02 


URBAN IN 


0.895 


0.905 


-0.010 


-1.1 


00542 


05 


SAN FRANCISCO, CA 


1.328 


1.338 


-0.010 


-0.8 


00803 


01 


MANHATTAN, NY 


1.357 


1.367 


-0.010 


-0.7 


00801 


04 


REST OF NEW YORK 


0.936 


0.946 


-0.010 


-1.1 


00865 


02 


LG PA CITIES 


1.001 


1.012 


-0.011 


-1.1 


00510 


01 


NORTHWEST AL 


0.872 


0.883 


-0.011 


-1.3 


01380 


03 


SALEM, ET AL. (CITIES), OR 


0.928 


0.939 


-0.011 


-1.2 


00780 


40 


NEW HAMPSHIRE 


1.033 


1.044 


-0.011 


-1.1 


00740 


06 


RURAL NW COUNTIES, MO 


0.834 


0.845 


-0.011 


-1.3 


01291 


99 


REST OF NEVADA 


1.012 


1.023 


-0.011 


-1.1 


00580 


01 


DC +MDA/A SUBURBS 


1.191 


1.203 


-0.012 


-1.0 


01020 


01 


ALASKA 


1.154 


1.166 


-0.012 


-1.0 


10230 


03 


S. CNTRL CT 


1.224 


1.236 


-0.012 


-1.0 


00590 


03 


FORT LAUDERDALE, FL 


1.035 


1.047 


-0.012 


-1.2 


10230 


02 


SW CT 


1.273 


1.285 


-0.012 


-0.9 


01390 


01 


W & SE WA (EXCL SEATTLE) 


0.967 


0.979 


-0.012 


-1.2 


00700 


02 


MASS SUBURBS/RURAL CITIES 


1.100 


1.112 


-0.012 


-1.1 


01040 


03 


SMALL GA CITIES 03 


0.883 


0.895 


-0.012 


-1.4 


00690 


01 


BALTIMORE/SURR. CNTYS, MD 


1.035 


1.048 


-0.013 


-1.3 


10250 


02 


URBAN MISSISSIPPI 


0.867 


0.880 


-0.013 


-1.5 


00621 


03 


DE KALB, IL 


0.872 


0.888 


-0.016 


-1.8 


00865 


01 


PHILLY/PITT MED SHCLS/HOSPS, PA 


1.039 


1.056 


-0.017 


-1.6 


00621 


01 


NORTHWEST, IL 


0.841 


0.859 


-0.018 


-2.1 


11260 


01 


ST. LOUIS/LG E. CITIES, MO 


0.920 


0.938 


-0.018 


-2.0 


00900 


03 


SOUTHEAST RURAL TX 


0.871 


0.890 


-0.019 


-2.2 


01380 


02 


EUGENE, ET AL. (CITIES), OR 


0.937 


0.957 


-0.020 


-2.1 


00660 


03 


REST OF KENTUCKY 


0.820 


0.840 


-0.020 


-2.4 


00900 


02 


NORTHEAST RURAL TX 


0.856 


0.877 


-0.021 


-2.5 


00660 


02 


SM CITIES (CITY LIMITS) KY 


0.849 


0.870 


-0.021 


-2.5 


00951 


19 


LA CROSSE (W CNTRL), Wl 


0.878 


0.903 


-0.025 


-2.8 


10490 


02 


TIDEWATER & N VA CNTYS 


0.964 


0.994 


-0.030 


-3.1 


00690 


02 


WESTERN MD 


0.929 


0.959 


-0.030 


-3.2 


01381 


99 


REST OF OREGON 


0.906 


0.937 


-0.031 


-3.4 



A-IV-5 



I 



APPENDIX IV-1 



DIFFERENCE BETWEEN 1996 PRACTICE EXPENSE GPCI WEIGHTED BY RELATIVE VALUE UNITS (RVUs) 
AND POPULATION, BY MEDICARE PAYMENT LOCALITY, RANKED IN DESCENDING ORDER OF DIFFERENCE 









RVU- 


Pop- 












Weighted 


Weighted 












Practice 


Practice 






Carrier 


Locality 




Expense 


Expense 




Percent 


Number 


Number 


Locality Name 


GPCI 


GPCI 


Difference 


Difference 


00621 


02 


ROCKFORD, IL 


0.940 


0.972 


-0.032 


-3.4 


00690 


03 


SOUTH & E. SHORE MD 


0.971 


1.005 


-0.034 


-3.5 



A-IV-6 



I 



APPENDIX IV-2 



FINAL PRACTICE EXPENSE GPCIs BY MEDICARE PAYMENT LOCALITY 
(sorted alphabetically by state and locality name within state) 

1996 1995 









■1 QQC 


rvescafeu 




1 








Practice 


Practice 


rracTice 


rractice 


^arrier 


Locality 




Expense 


Expense 


Expense 


Expense 


lumber 


Number Locality Name 


GPCI 


GPCI 


GPCI 


GPCI 


00510 


05 


BIRMINGHAM, AL 


0.91 1 


0.912 


0.912 


r\ r\A 

0.913 


00510 


04 


MOBILE, AL 


0.857 


0.858 


0.884 


A AH H 

0.91 1 


00510 


02 


NORTH CENTRAL AL 


0.849 


0.850 


0.858 


0.867 


0051 


01 


NORTHWEST AL 


0.872 


0.873 


0.871 


0.869 


00510 


06 


REST OF AL 


0.817 


0.818 


0.834 


A OCA 

0.851 


00510 


03 


SOUTHEAST AL 


0.857 


0.858 


0.864 


0.869 


01020 


01 


ALASKA 


1.154 


1 , 1 53 


1 .205 


A C fT 

1 .255 


A-l AOA 
01030 


05 


FLAGSTAFF, AZ 


0.935 


936 


0.924 


r\ f\ A A 

0.91 1 


AH AOA 
01030 


01 


PHOENIX, AZ 


0.962 


0.963 


0.990 


A A«4 ^ 

1 .016 


A*! AOA 

01030 


07 


PRESCOTT, AZ 


0.911 


0.912 


0.912 


0.911 


01030 


99 


REST OF AZ 


0.947 


0.948 


0.946 


0.943 


01030 


02 


TUCSON, AZ 


0.941 


0.942 


0.966 


0.989 


01030 


08 


YUMA, AZ 


0.924 


0.925 


0.918 


0.911 


00520 


13 


ARKANSAS 


0.852 


0.853 


0.854 


0.856 


02050 


26 


ANAHEIM/SANTA ANA, CA 


1.203 


1.205 


1.212 


1.220 


00542 


14 


BAKERSFIELD , CA 


0.991 


0.992 


1.021 


1 .050 


00542 


11 


FRESNO/MADERA, CA 


0.976 


0.977 


0.993 


1 .009 


AAC A O 

00542 


13 


KINGS/TULARE, CA 


0.953 


0.954 


0.978 


A f\f\A 

1 .001 


AOAC A 

02050 


18 


LOS ANGELES (1ST OF 8) 


1.205 


1.207 


1.202 


A A A^ 

1 .196 


A*^ ACA 

Oie.050 


19 


LOS ANGELES (2ND OF 8) 


1.205 


1 .207 


1.202 


A A A^ 

1 .196 


AOAC A 

02050 


20 


LOS ANGELES (3RD OF 8) 


1.205 


1.207 


1.202 


A A AA 

1.196 


AOAC A 

02050 


21 


LOS ANGELES (4TH OF 8) 


1.205 


1.207 


1.202 


A A A^ 

1 .196 


02050 


22 


LOS ANGELES (5TH OF 8) 


1.205 


1 .207 


A OA A 

1 .202 


A A AC 

1 .196 


AOAC A 

02050 


23 


LOS ANGELES (6TH OF 8) 


1.205 


1 .207 


1.202 


A A CiG 

1 .196 


AOACA 

02050 


24 


LOS ANGELES (7TH OF 8) 


1.205 


1 .207 


1.202 


A A AC 

1 .196 


AOAC A 

02050 


25 


LOS ANGELES (8TH OF 8) 


1.205 


1.207 


1.202 


1.196 


00542 


03 


MARIN/NAPA/SOLANO, CA 


1.179 


1.180 


1.189 


1.198 


00542 


10 


MERCED/SURR.CNTYS, CA 


0.987 


0.988 


0.998 


1.009 


00542 


12 


MONTEREY/SANTA CRUZ, CA 


1.142 


1.143 


1.126 


1.108 


00542 


01 


N. COASTAL CNTYS, CA 


1.089 


1.090 


1.081 


1.072 


00542 


02 


NE RURAL. CA 


0.952 


0.953 


0.972 


0.990 


00542 


07 


OAKLAND/BERKLEY, CA 


1.213 


1.215 


1.236 


1.258 


00542 


27 


RIVERSIDE, CA 


1.058 


1.059 


1.070 


1.080 


00542 


04 


SACRAMENTO/SURR. CNTYS, CA 


1.068 


1.069 


1.078 


1.088 


00542 


15 


SAN BERNADINO/E.CTRL CNTYS CA 


1.055 


1.056 


1.066 


1.077 


02050 


28 


SAN DIEGO/IMPERIAL, CA 


1.076 


1.077 


1.084 


1.090 


00542 


05 


SAN FRANCISCO, CA 


1.328 


1.330 


1.316 


1.303 


00542 


06 


SAN MATEO, CA 


1.298 


1.300 


1.302 


1.303 


02050 


16 


SANTA BARBARA, CA 


1.118 


1.119 


1.096 


1.073 


00542 


09 


SANTA CLARA, CA 


1.287 


1.289 


1.288 


1.286 


00542 


08 


STOCKTON/SURR. CNTYS , CA 


1.040 


1.041 


1.034 


1.027 


02050 


17 


VENTURA, CA 


1.191 


1.192 


1.162 


1.132 



A-IV-7 



APPENDIX IV-2 

FINAL PRACTICE EXPENSE GPCIs BY MEDICARE PAYMENT LOCALITY 
(sorted alphabetically by state and locality name within state) 



1996 1995 











i^escaiea 












Practice 


Practice 


Practice 


rracTice 


arrier 


Locality 




Expense 


Expense 


Expense 


Expense 


umber 


Number Localitv Name 


GPCI 


GPCI 


GPCI 


GPCI 


00550 


01 


COLORADO 


0.950 


0.951 


0.970 


0.988 


10230 


04 


EASTERN CT 


1.131 


1.132 


1.092 


1.053 


10230 


01 


NW AND N. CNTRL CT 


1.158 


1.159 


1.115 


1.071 


10230 


03 


S. CNTRL CT 


1.224 


1.226 


1.164 


1.103 


10230 


02 


SW CT 


1 .273 


1.275 


1.207 


1.139 


00570 


01 


DELAWARE 


1.031 


1.032 


1.025 


1.018 


AAC OA 

00580 


01 


DC +MDA/A SUBURBS 


1 .191 


1.192 


A A on 

1 .180 


A A CO 

1 .168 


AAC AA 

00590 


03 


FORT LAUDERDALE, FL 


1 .035 


1 .036 


A r\r\Q 

1 .008 


A AO 4 

0.981 


AAC AA 

00590 


04 


MIAMI, FL 


1 .086 


1 .087 


A AC^ 

1 .056 


A AOC 

1 .025 


AAC AA 

00590 


02 


N/NC FL CITIES 


0.951 


0.952 


0.942 


A AO A 

0.932 


AAC AA 

00590 


01 


REST OF FLORIDA 


0.913 


0.914 


0.892 


0.871 


A'l A il A 

01040 


01 


ATLANTA, GA 


1.029 


1.030 


1 .026 


A AOO 

1 .022 


01040 


04 


REST OF GA 


0.855 


0.856 


0.848 


A O il «t 

0.841 


01040 


02 


SMALL GA CITIES 02 


0.916 


0.917 


0.906 


0.895 


01040 


03 


SMALL GA CITIES 03 


0.883 


0.884 


0.876 


0.869 


01120 


01 


HAWAII/GUAM 


1.218 


1.220 


1.157 


1.094 


05130 


12 


NORTH IDAHO 


0.863 


0.864 


0.890 


0.917 


05130 


11 


SOUTH IDAHO 


0.886 


0.887 


0.912 


0.936 


00621 


10 


CHAMPAIGN-URBANA, IL 


0.883 


0.884 


0.902 


0.920 


00621 


16 


CHICAGO, IL 


1.079 


1.080 


1.097 


1.114 


00621 


03 


DE KALB, IL 


0.872 


0.873 


0.899 


0.925 


00621 


11 


DECATUR, IL 


0.863 


0.864 


0.896 


0.927 


00621 


12 


EAST ST. LOUIS, IL 


0.928 


0.929 


0.944 


0.958 


00621 


06 


KANKAKEE, IL 


0.880 


0.881 


0.903 


0.925 


00621 


08 


NORMAL, IL 


0.892 


0.893 


0.930 


0.968 


00621 


01 


NORTHWEST, IL 


0.841 


0.842 


0.869 


A O AC 

0.896 




05 


PEORIA, IL 


0.905 


0.906 


A ACO 

0.968 


1 .Ool 


00621 


07 


QUINCY, IL 


0.823 


0.824 


A OCA 

0.860 


o.oyo 


00621 


04 


ROCK ISLAND, IL 


0.857 


0.858 


A A AO 

0.908 


O.ybo 


00621 


02 


ROCKFORD, IL 


0.940 


0.941 


0.980 


■1 ni Q 
1 .Olo 


UUO^ 1 


13 


SOUTHEAST IL 


noil 


0.014 


U.oOO 


U.090 


00621 


14 


SOUTHERN IL 


0.821 


0.822 


0.859 


0.896 


00621 


09 


SPRINGFIELD, IL 


0.935 


0.936 


0.951 


0.966 


00621 


15 


SUBURBAN CHICAGO, IL 


1.092 


1.093 


1.095 


1.097 


00630 


01 


METROPOLITAN IN 


0.936 


0.937 


0.950 


0.963 


00630 


03 


REST OF IN 


0.871 


0.872 


0.884 


0.896 


00630 


02 


URBAN IN 


0.895 


0.896 


0.900 


0.905 


00640 


05 


DES MOINES (POLK/WARREN), lA 


0.940 


0.941 


0.954 


0.966 


00640 


03 


NORTH CENTRAL IOWA 


0.844 


0.845 


0.880 


0.916 


00640 


02 


NORTHEAST IOWA 


0.872 


0.873 


0.896 


0.918 


00640 


06 


NORTHWEST IOWA 


0.845 


0.846 


0.868 


0.890 


00640 


04 


S CNTRL lA (EXCL. DES MOINES) 


0.836 


0.837 


0.859 


0.881 



A-IV-8 



APPENDIX IV-2 

FINAL PRACTICE EXPENSE GPCIs BY MEDICARE PAYMENT LOCALITY 
(sorted alphabetically by state and locality name within state) 



1996 1995 









4 OOC 


Reseated 


Kescaiea 










Practice 


Practice 


Practice 


Practice 


lamer 


Locality 




Expense 


Expense 


Expense 


Expense 


lumber 


Number Localitv Name 


GPCI 


GPCI 


GPCI 


GPCI 


00640 


01 


SOUTHEAST IOWA 


0.891 


0.892 


0.912 


0.933 


00640 


07 


SOUTHWEST IOWA 


0.859 


0.860 


0.880 


0.900 


00740 


05 


KANSAS CITY. KANSAS 


0.948 


0.949 


0.956 


0.964 


00650 


01 


REST OF KANSAS 


0.876 


0.877 


0.885 


0.893 


00740 


04 


SUBURBAN KANSAS CITY, KANSAS 


0.948 


0.949 


0.956 


0.964 


00660 


01 


LEXINGTON & LOUISVILLE, KY 


0.903 


0.904 


0.910 


0.917 


00660 


03 


REST OF KENTUCKY 


0.820 


0.821 


0.848 


0.875 


00660 


02 


SM CITIES (CITY LIMITS) KY 


0.849 


0.850 


0.874 


0.898 


00528 


07 


ALEXANDRIA, LA 


0.863 


0.864 


0.876 


0.889 


00528 


03 


BATON ROUGE, LA 


0.893 


0.894 


0.930 


0.966 


00528 


06 


LAFAYETTE, LA 


0.856 


0.857 


0.892 


0.928 


00528 


04 


LAKE CHARLES, LA 


0.900 


0.901 


0.904 


0.907 


00528 


05 


MONROE, LA 


0.866 


0.867 


0.874 


0.880 


00528 


01 


NEW ORLEANS, LA 


0.945 


0.946 


0.974 


1.003 


00528 


50 


REST OF LA 


0.849 


0.850 


0.865 


0.880 


00528 


02 


SHREVEPORT, LA 


0.888 


0.889 


0.914 


0.940 


21200 


02 


CENTRAL MAINE 


0.928 


0.929 


0.916 


0.903 


21200 


01 


NORTHERN MAINE 


0.919 


0.920 


0.916 


0.912 


21200 


03 


SOUTHERN MAINE 


1.033 


1.034 


1.007 


0.980 


00690 


01 


BALTIMORE/SURR. CNTYS, MD 


1.035 


1.036 


1.038 


1.040 


00690 


03 


SOUTH & E. SHORE MD 


0.971 


0.972 


0.991 


1.010 


00690 


02 


WESTERN MD 


0.929 


0.930 


0.972 


1.013 


00700 


02 


MASS SUBURBS/RURAL CITIES 


1.100 


1.101 


1.086 


1.072 


00700 


01 


URBAN MASS 


1.166 


1.167 


1.149 


1.131 


00710 


01 


DETROIT, Ml 


1.037 


1.038 


1.064 


1.091 


00710 


02 


MICHIGAN, NOT DETROIT 


0.934 


0.935 


0.953 


0.971 


00720 


00 


MINNESOTA (BLUE SHIELD) 


0.964 


0.965 


0.968 


0.971 


10240 


00 


MINNESOTA (TRAVELERS) 


0.964 


0.965 


0.968 


0.971 


10250 


01 


REST OF MISSISSIPPI 


0.812 


0.813 


0.826 


0.838 


10250 


02 


URBAN MISSISSIPPI 


0.867 


0.868 


0.885 


0.902 


UU/4U 


03 


K.C. (JACKSON CNTY), MO 


0.948 


0.949 


o.yob 


U.yD4 


00740 


02 


N K.C. (CLAY/PLATTE), MO 


0.948 


0.949 


0.956 


0.964 


11260 


03 


REST OF MO 


0.809 


0.810 


0.828 


0.847 


00740 


06 


RURAL NW COUNTIES, MO 


0.834 


0.835 


0.850 


0.866 


11260 


02 


SM E. CITIES, MO 


0.808 


0.809 


0.824 


0.838 


00740 


01 


ST JOSEPH, MO 


0.849 


0.850 


0.858 


0.867 


11260 


01 


ST. LOUIS/LG E. CITIES, MO 


0.920 


0.921 


0.942 


0.964 


00751 


01 


MONTANA 


0.863 


0.864 


0.895 


0.926 


00655 


00 


NEBRASKA 


0.871 


0.872 


0.878 


0.883 


01290 


03 


ELKO & ELY (CITIES), NV 


0.985 


0.986 


1.006 


1.026 


01290 


01 


LAS VEGAS, ET AL. (CITIES), NV 


1.021 


1.022 


1.052 


1.082 


01290 


02 


RENO, ET AL. (CITIES), NV 


1.048 


1.049 


1.095 


1.141 



A-IV- 



9 



APPENDIX IV-2 

FINAL PRACTICE EXPENSE GPCIs BY MEDICARE PAYMENT LOCALITY 
(sorted alphabetically by state and locality name within state) 



1996 1995 









1996 


Reseated 


Rescaled 


1992 








Practice 


Practice 


Practice 


Practice 


Carrier 


Locality 




Exoense 


Exoense 


Exoense 


Exoense 


lumber 


Number Locality Name 


GPCI 


GPCI 


GPCI 


GPCI 


01290 


99 


REST OF NEVADA 


1 012 

1 .W i ^ 


1 013 

1 .W 1 w 


1 046 

1 .w*tw 


1 079 

1 . W r w 


00780 


40 


NEW HAMPSHIRE 


1 033 

1 . www 


1 034 

1 .Ww"T 


1 029 


1 Oil 

1 <W 1 1 


00860 

www 


02 


MIDDLE NJ 


1 136 

1 . 1 wW 


1 137 


1 104 


1 070 


00860 

w Www 


01 


NORTHERN NJ 


1 913 


1 91«> 


1 173 


1 131 


00860 

WWW 


03 


SOUTHERN NJ 


1 081 


1 089 


1 0<i6 


1 030 


01360 

w 1 \J\J\J 


05 


NEW MEXICO 


Q09 


Q03 

U.57UO 


Q14 


09*^ 


00801 

wWOw 1 


01 


BUFFALO/SURR. CNTYS, NY 


03*^ 


n Q3ft 

U.570U 


Q3Q 


Q49 


00803 

w Www 


01 


MANHATTAN, NY 


1 3*^7 


1 3*iQ 


1 307 


1 9*;*i 


00801 


03 


N. CENTRAL CITIES, NY 


n QRP, 


n QPk7 

u.yo / 


QRO 


Q^9 

U. >7Q£. 


00803 


02 


NYC SUBURBS/LONG 1., NY 


1 .ZOo 


1 .zoo 


1 9'79 


1 99Q 


00803 

wwWww 


03 


POUGHKPSIE/N NYC SUBURBS, NY 


1 .UOU 


1 .UO 1 


1 o*;o 


1 018 
1 .u 1 


14330 

1 *rwww 


04 


QUEENS, NY 


1 .^oo 


1 940 


1 948 


1 9*i*> 


00801 


04 


REST OF NEW YORK 


U.v700 


n Q'^7 

U. v70 1 


Q3R 


r Q3'^ 

u.570%1 


00801 

www 1 


02 


ROCHESTER/SURR. CNTYS, NY 


QQ1 


QQ9 

U.57\7Z 


1 004 


1 017 

1 . W i f 


05535 

WW www 


00 


NORTH CAROLINA 


Q17 


Q18 

U.57 1 O 


Q10 


902 

W. wW^ 


00820 


01 


NORTH DAKOTA 


W. Www 


860 

W . WWW 


878 

w . w / w 


0.895 


16360 


00 


OHIO 


Q3Q 

W . www 


Q40 

W. wtW 


946 

W . w^W 


0.951 


01370 


00 


OKLAHOMA 


881 


889 


896 

W . W wW 


91 1 

W . w 1 1 


01380 


02 


EUGENE, ET AL. (CITIES), OR 


Q37 


Q38 

\J . \70<J 


Q73 

W. 9 1 w 


1 008 

1 . WWW 


01380 


01 


PORTLAND, ET AL. (CITIES), OR 


QQQ 


1 000 


1 016 

1 . W 1 w 


1 033 

1 .Www 


01380 


99 


REST OF OREGON 


QOfi 


Q07 

\J.57U # 


Q52 

W. WW£. 


997 

W . w w f 


01380 


03 


SALEM, ET AL. (CITIES), OR 


Q98 


Q9Q 


Q60 

W. wWW 


990 

W . w WW 


01380 


12 


SW OR CITIES (CITY LIMITS) 


0*^3 


0*^4 


Q71 


988 

W. wWW 


00865 

WW Www 


02 


LG PA CITIES 


1 .UU 1 


1 009 
1 .uuz 


1 009 


1 001 

1 .UU 1 


0086*^ 

wwWw W 


01 


PHILLY/PITT MED SHCLS/HOSPS, PA 


1 .U057 


1 OAO 
1 .U*HJ 


1 097 


1 014 
1 .U 1 1 




04 


REST OF PA 


u.oyo 


u.oyy 


U.y 1 H 


Q9Q 


wUOOw 


03 


SM PA CITIES 


u.y ID 


u.y 1 / 


n oil 
u.yo 1 


u.y*i'0 


Www 1 w 


20 


PUERTO RICO 


U. / oo 


u. / oy 


u. / 1 


U. 1 DO 


www 1 w 


01 


RHODE ISLAND 


1 .u/o 


1 .U / »t 


1 O'^R 


U.v7v70 


00880 

wWWWW 


01 


SOUTH CAROLINA 


u.0v70 


n RQQ 

U.057v7 


88R 


874 

U.O f t 


00820 


02 


SOUTH DAKOTA 




8*16 


8')6 

W. WWW 


857 

W.Ww / 


05440 


35 


TENNESSEE 


0.898 


0.899 


0.898 


0.896 


00900 


29 


ABILENE, TX 


0.850 


0.851 


0.870 


0.888 


00900 


26 


AMARILLO, TX 


0.882 


0.883 


0.892 


0.900 


00900 


31 


AUSTIN. TX 


0.985 


0.986 


0.977 


0.968 


00900 


20 


BEAUMONT, TX 


0.892 


0.893 


0.924 


0.955 


00900 


09 


BRAZORIA, TX 


0.965 


0.966 


0.960 


0.955 


00900 


10 


BROWNSVILLE, TX 


0.847 


0.848 


0.868 


0.888 


00900 


24 


CORPUS CHRISTI, TX 


0.897 


0.898 


0.921 


0.944 


00900 


11 


DALLAS, TX 


1.011 


1.012 


0.992 


0.971 


00900 


12 


DENTON, TX 


0.951 


0.952 


0.962 


0.971 


00900 


14 


EL PASO, TX 


0.892 


0.893 


0.894 


0.894 



A-IV-10 



APPENDIX IV-2 



FINAL PRACTICE EXPENSE GPCIs BY MEDICARE PAYMENT LOCALITY 
(sorted alphabetically by state and locality name within state) 



Carrier Locality 

Number Number Locality Name 



00900 


28 


FORT WORTH, TX 


00900 


15 


GALVESTON, TX 


00900 


16 


GRAYSON, TX 


00900 


18 


HOUSTON, TX 


00900 


33 


LAREDO, TX 


00900 


17 


LONGVIEW, TX 


00900 


21 


LUBBOCK, TX 


00900 


19 


MC ALLEN, TX 


00900 


23 


MIDLAND, TX 


00900 


02 


NORTHEAST RURAL TX 


00900 


13 


ODESSA, TX 


00900 


25 


ORANGE, TX 


00900 


30 


SAN ANGELO, TX 


00900 


07 


SAN ANTONIO, TX 


Ann 

00900 


03 


SOUTHEAST RURAL TX 


00900 


06 


TEMPLE, TX 


00900 


08 


TEXARKANA, TX 


00900 


27 


TYLER, TX 


00900 


32 


VICTORIA, TX 


00900 


22 


WACO, TX 


00900 


04 


WESTERN TX 


00900 


34 


WICHITA FALLS, TX 


00910 


09 


UTAH 


00780 


50 


VERMONT 


00973 


50 


VIRGIN ISLANDS 


\ u4yu 


04 


REST OF VA 


10490 


01 


RICHMOND & CHARLOTTESVIL 


10490 


03 


SM TOWN/INDUSTRIAL VA 


10490 


02 


TIDEWATER & N VA CNTYS 


01390 


03 


E CNTRL & NE WA 


01390 


02 


SEATTLE (KING CNTY), WA 


01390 


01 


W & SE WA (EXCL SEATTLE) 


16510 


16 


CHARLESTON, WV 


16510 


18 


EASTERN VALLEY, WV 


16510 


19 


OHIO RIVER VALLEY, WV 


16510 


20 


SOUTHERN VALLEY, WV 


16510 


17 


WHEELING, WV 


00951 


13 


CENTRAL Wl 


00951 


40 


GREEN BAY (NORTHEAST), Wl 


00951 


54 


JANESVILLE (S CNTRL), Wl 


00951 


19 


LA CROSSE (W CNTRL), Wl 


00951 


15 


MADISON (DANE CNTY), Wl 



1996 1995 

1996 Reseated Rescaled 1992 

Practice Practice Practice Practice 

Expense Expense Expense Expense 



GPCI 


GPCI 


GPCI 


GPCI 


0.971 


0.972 


0.954 


0.936 


0.965 


0.966 


0.967 


0.968 


0.873 


0.874 


0.888 


0.903 


1.004 


1.005 


0.994 


0.982 


0.850 


0.851 


0.854 


0.856 


0.862 


0.863 


0.896 


0.929 


0.893 


0.894 


0.888 


0.881 


0.836 


0.837 


0.855 


0.873 


0.899 


0.900 


0.949 


0.998 


0.856 


0.857 


0.870 


0.883 


0.899 


0.900 


0.936 


0.971 


0.892 


0.893 


0.924 


0.955 


0.843 


0.844 


0.873 


0.902 


0.925 


0.926 


0.928 


0.929 


0.871 


0.872 


0.884 


0.895 


0.883 


0.884 


0.885 


0.886 


0.871 


0.872 


0.878 


0.883 


0.893 


0.894 


0.912 


0.931 


0.867 


0.868 


0.920 


0.973 


0.876 


0.877 


0.874 


0.871 


0.817 


0.818 


0.835 


0.852 


0.856 


0.857 


0.876 


0.896 


0.890 


0.891 


0.922 


0.952 


0.987 


0.988 


0.964 


0.941 


0.977 


0.978 


0.989 


1.000 


0.875 


0.876 


0.882 


0.888 


0.990 


0.991 


0.972 


0.953 


0.896 


0.897 


0.894 


0.892 


0.964 


0.965 


0.980 


0.994 


0.942 


0.943 


0.969 


0.995 


1.076 


1.077 


1.063 


1.049 


0.967 


0.968 


0.980 


0.992 


0.880 


0.881 


0.922 


0.962 


0.898 


0.899 


0.890 


0.881 


0.832 


0.833 


0.857 


0.881 


0.814 


0.815 


0.846 


0.876 


0.839 


0.840 


0.870 


0.900 


0.848 


0.849 


0.868 


0.888 


0.893 


0.894 


0.904 


0.913 


0.894 


0.895 


0.900 


0.905 


0.878 


0.879 


0.899 


0.919 


0.999 


1.000 


0.990 


0.979 



A-IV-11 



APPENDIX IV-2 



FINAL PRACTICE EXPENSE GPCIs BY MEDICARE PAYMENT LOCALITY 
(sorted alphabetically by state and locality name within state) 



Carrier Locality 

Number Number Locality Name 



1996 
Practice 
Expense 

GPCI 



1996 
Rescaled 
Practice 
Expense 
GPCI 



1995 
Rescaled 
Practice 
Expense 

GPCI 



1992 
Practice 
Expense 

GPCI 



00951 


46 


MILWAUKEE SUBURBS (SE), Wl 


0.958 


0.959 


0.984 


1.008 


00951 


04 


MILWAUKEE, Wl 


0.977 


0.978 


0.994 


1.009 


00951 


12 


NORTHWEST Wl 


0.849 


0.850 


0.874 


0.898 


00951 


60 


OSHKOSH (E CNTRL), Wl 


0.885 


0.886 


0.898 


0.911 


00951 


14 


SOUTHWEST Wl 


0.849 


0.850 


0.869 


0.888 


00951 


36 


WAUSAU (N CNTRL), Wl 


0.8G5 


0.866 


0.882 


0.898 


00825 


21 


WYOMING 


0.880 


0.881 


0.910 


0.938 



A-IV-12 



1 



T 



APPENDIX IV-3 

DIFFERENCE BETWEEN 1996 RESCALED PRACTICE EXPENSE GPCI AND 1992 PRACTICE EXPENSE 
GPCI BY MEDICARE PAYMENT LOCALITY, RANKED IN DESCENDING ORDER OF DIFFERENCE 



1996 









Rescaled 


1992 












Practice 


Practice 






Carrier 


Locality 




Expense 


Expense 




Percent 


Number 


Number 


Locality Name 


GPCI 


GPCI 


Chanqe 


Chanqe 


10230 


02 


SW CT 


1.275 


1.139 


0.136 


1 1 .9% 


01120 


01 


HAWAII/GUAM 


1.220 


1.094 


0.126 


11.5 


10230 


03 


S. CNTRL CT 


1.226 


1.103 


0.123 


11.2 


00803 


01 


MANHATTAN, NY 


1.359 


1.255 


0.104 


8.3 


10230 


01 


NW AND N. CNTRL CT 


1.159 


1.071 


0.088 


8.2 


00860 


01 


NORTHERN NJ 


1.215 


1.131 


0.084 


7.4 


10230 


04 


EASTERN CT 


1.132 


1.053 


0.079 


7.5 


00870 


01 


RHODE ISLAND 


1.074 


0.998 


0.076 


7.6 


00860 


02 


MIDDLE NJ 


1.137 


1.070 


0.067 


6.3 


00803 


03 


POUGHKPSIE/N NYC SUBURBS NY 


1.081 


1.018 


0.063 


6.2 


00590 


04 


MIAMI, FL 


1 .087 


1.025 


0.062 


6.0 


02050 


17 


VENTURA CA 


1 .192 


1.132 


0.060 


5.3 


00590 


03 


FORT LAUDERDALE FL 


1.036 


0.981 


0.055 


5.6 


21200 


03 


SOUTHERN MAINE 


1.034 


0.980 


0.054 


5.5 


00860 


03 


SOUTHERN NJ 

III i \l ^ 1 ^ V 


1.082 


1 .030 


0.052 


5.0 


00780 


50 


VERMONT 


0.988 


0.941 


0.047 


5.0 


02050 


16 


SANTA BARBARA, CA 


1.119 


1.073 


0.046 


4.3 


00590 


01 


REST OF FLORIDA 


0.914 


0.871 


0.043 


4.9 


00900 


11 


DALLAS, TX 


1.012 


0.971 


0.041 


4.2 


10490 


01 


RICHMOND & CHARLOTTESVILLE, VA 


0.991 


0.953 


0.038 


4.0 


00700 


01 


URBAN MASS 


1.167 


1.131 


0.036 


3.2 


00900 


28 


FORT WORTH, TX 


0.972 


0.936 


0.036 


3.8 


00542 


12 


MONTEREY/SANTA CRUZ CA 


1 .143 


1.108 


0.035 


3.2 


00700 


02 


MASS SUBURBS/RURAL CITIES 


1.101 


1.072 


0.029 


2.7 


01390 


02 


SEATTLE fKING CNTYi WA 


1 077 


1.049 


0.028 


2.7 


00542 


05 


SAN FRANCISCO CA 


1 330 


1 .303 


0.027 


2.1 


21200 


02 


CENTRAL MAINE 


329 


0.903 


0.026 


2.9 


00865 


01 


PHILLY/PITT MED SHCLS/HOSPS PA 

1 • lik_k* 1 It III IVIEsli^ X^l l^^^^^/l l^^^^l 1 t\ 


1.040 


1.014 


0.026 


2.6 


00880 


01 


SOUTH CAROLINA 


0.899 


0.874 


0.025 


2.9 


01030 


05 


FLAGSTAFF, AZ 


0.936 


0.911 


0.025 


2.7 


00580 


01 


DC +MDA/A SUBURBS 


1 .192 


1 .168 


0.024 


2.1 


00780 


40 


NEW HAMPSHIRE 


1.034 


1.011 


0.023 


2.3 


00900 


18 


HOUSTON. TX 


1.005 


0.982 


0.023 


2.3 


01040 


02 


SMALL GA CITIES 02 


0.917 


0.895 


0.022 


2.5 


00951 


15 


MADISON (DANE CNTY), Wl 


1.000 


0.979 


0.021 


2.1 


00590 


02 


N/NC FL CITIES 


0.952 


0.932 


0.020 


2.1 


00900 


31 


AUSTIN, TX 


0.986 


0.968 


0.018 


1.9 


00542 


01 


N. COASTAL CNTYS, CA 


1.090 


1.072 


0.018 


1.7 


16510 


18 


EASTERN VALLEY, WV 


0.899 


0.881 


0.018 


2.0 


05535 


00 


NORTH CAROLINA 


0.918 


0.902 


0.016 


1.8 


01040 


04 


REST OF GA 


0.856 


0.841 


0.015 


1.8 


00801 


03 


N. CENTRAL CITIES, NY 


0.967 


0.952 


0.015 


1.6 



A-IV-13 



2 



APPENDIX IV-3 

DIFFERENCE BETWEEN 1996 RESCALED PRACTICE EXPENSE GPCI AND 1992 PRACTICE EXPENSE 
GPCI BY MEDICARE PAYMENT LOCALITY, RANKED IN DESCENDING ORDER OF DIFFERENCE 



1996 









Reseated 


1992 












Practice 


Practice 






Carrier 


Locality 




Expense 


Expense 




Percent 


Number 


Number 


Localltv Name 


GPCI 


GPCI 


Chanae 


Chanae 


01040 


03 


SMALL GA CITIES 03 


0.884 


0.869 


0.015 


1.7 


01030 


08 


YUMA, A2 


0.925 


0.911 


0.014 


1.5 


00570 


01 


DELAWARE 


1.032 


1.018 


0.014 


1.4 


00542 


08 


STOCKTON/SURR. CNTYS , CA 


1.041 


1.027 


0.014 


1.4 


00900 


21 


LUBBOCK, TX 


0.894 


0.881 


0.013 


1.5 


02050 


18 


LOS ANGELES (1ST OF 8) 


1.207 


1.196 


0.011 


0.9 


02050 


19 


LOS ANGELES (2ND OF 8) 


1.207 


1.196 


0.011 


0.9 


02050 


20 


LOS ANGELES (3RD OF 8) 


1.207 


1.196 


0.011 


0.9 


02050 


21 


LOS ANGELES (4TH OF 8) 


1.207 


1.196 


0.011 


0.9 


02050 


22 


LOS ANGELES (5TH OF 8) 


1.207 


1.196 


0.011 


0.9 


02050 


23 


LOS ANGELES (6TH OF 8) 


1.207 


1.196 


0.011 


0.9 


02050 


24 


LOS ANGELES (7TH OF 8) 


1.207 


1.196 


0.011 


0.0 


02050 


25 


LOS ANGELES (8TH OF 8) 


1.207 


1.196 


0.011 


0.9 


00900 


09 


BRAZORIA, TX 


0.966 


0.955 


0.011 


1.2 


01040 


01 


ATLANTA, GA 


1.030 


1.022 


0.008 


0.8 


21200 


01 


NORTHERN MAINE 


0.920 


0.912 


0.008 


0.9 


00803 


02 


NYC SUBURBS/LONG 1., NY 


1.235 


1.229 


0.006 


0.5 


00900 


22 


WACO, TX 


0.877 


0.871 


0.006 


0.7 


10490 


03 


SM TOWN/INDUSTRIAL VA 


0.897 


0.892 


0.005 


0.6 


01030 


99 


REST OF AZ 


0.948 


0.943 


0.005 


0.5 


00510 


01 


NORTHWEST AL 


0.873 


0.869 


0.004 


0.5 


00542 


09 


SANTA CLARA, CA 


1.289 


1.286 


0.003 


0.2 


05440 


35 


TENNESSEE 


0.899 


0.896 


0.003 


0.3 


00801 


04 


REST OF NEW YORK 


0.937 


0.935 


0.002 


0.2 


00865 


02 


LG PA CITIES 


1.002 


1.001 


0.001 


0.1 


01030 


07 


PRESCOTT, AZ 


0.912 


0.911 


0.001 


0.1 


00510 


05 


BIRMINGHAM, AL 


0.912 


0.913 


-0.001 


-0.1 


00820 


02 


SOUTH DAKOTA 


0.856 


0.857 


-0.001 


-0.1 


00900 


14 


EL PASO, TX 


0.893 


0.894 


-0.001 


-0.1 


00900 


15 


GALVESTON, TX 


0.966 


0.968 


-0.002 


-0.2 


00900 


06 


TEMPLE, TX 


0.884 


0.886 


-0.002 


-0.2 


00542 


06 


SAN MATEO, CA 


1.300 


1.303 


-0.003 


-0.2 


00900 


07 


SAN ANTONIO, TX 


0.926 


0.929 


-0.003 


-0.3 


00520 


13 


ARKANSAS 


0.853 


0.856 


-0.003 


-0.4 


00690 


01 


BALTIMORE/SURR. CNTYS, MD 


1.036 


1.040 


-0.004 


-0.4 


00621 


15 


SUBURBAN CHICAGO, IL 


1.093 


1.097 


-0.004 


-0.4 


00900 


33 


LAREDO, TX 


0.851 


0.856 


-0.005 


-0.6 


00528 


04 


LAKE CHARLES, LA 


0.901 


0.907 


-0.006 


-0.7 


00801 


01 


BUFFALO/SURR. CNTYS, NY 


0.936 


0.942 


-0.006 


-0.6 


00720 


00 


MINNESOTA (BLUE SHIELD) 


0.965 


0.971 


-0.006 


-0.6 


10240 


00 


MINNESOTA (TRAVELERS) 


0.965 


0.971 


-0.006 


-0.6 


00630 


02 


URBAN IN 


0.896 


0.905 


-0.009 


-1.0 



A-IV-14 



APPENDIX IV-3 

DIFFERENCE BETWEEN 1996 RESCALED PRACTICE EXPENSE GPCI AND 1992 PRACTICE EXPENSE 
GPCI BY MEDICARE PAYMENT LOCALITY. RANKED IN DESCENDING ORDER OF DIFFERENCE 



1996 









Rescaled 


1992 












Practice 


Practice 






Carrier 


Locality 




Expense 


Expense 




Percent 


Number 


Number 


Locality Name 


GPCI 


GPCI 


Chanae 


Chanqe 


00951 


54 


JANESVILLE (S CNTRL), Wl 


0.895 


0.905 


-0.010 


-1.1 


00900 


08 


TEXARKANA, TX 


0.872 


0.883 


-0.011 


-1.2 


00510 


03 


SOUTHEAST AL 


0.358 


0.869 


-0.011 


-1.3 


16360 


00 


OHIO 


0.940 


0.951 


-0.011 


-1.2 


00655 


00 


NEBRASKA 


0.872 


0.883 


-0.011 


-1.2 


10490 


04 


REST OF VA 


0.876 


0.888 


-0.012 


-1.4 


00660 


01 


LEXINGTON & LOUISVILLE, KY 


0.904 


0.917 


-0.013 


-1.4 


02050 


28 


SAN DIEGO/IMPERIAL, CA 


1.077 


1.090 


-0.013 


-1.2 


00528 


05 


MONROE, LA 


0.867 


0.880 


-0.013 


-1.5 


00740 


05 


KANSAS CITY, KANSAS 


0.949 


0.964 


-0.015 


-1.6 


00740 


04 


SUBURBAN KANSAS CITY, KANSAS 


0.949 


0.964 


-0.015 


-1.6 


00740 


03 


K.C. (JACKSON CNTY), MO 


0.949 


0.964 


-0.015 


-1.6 


00740 


02 


N K.C. (CLAY/PLATTE), MO 


0.949 


0.964 


-0.015 


-1.6 


14330 


04 


QUEENS, NY 


1.240 


1.255 


-0.015 


-1.2 


02050 


26 


ANAHEIM/SANTA ANA, CA 


1.205 


1.220 


-0.015 


-1.2 


00650 


01 


REST OF KANSAS 


0.877 


0.893 


-0.016 


-1.8 


00510 


02 


NORTH CENTRAL AL 


0.850 


0.867 


-0.017 


-2.0 


00900 


26 


AMARILLO, TX 


0.883 


0.900 


-0.017 


-1.9 


00740 


01 


ST JOSEPH, MO 


0.850 


0.867 


-0.017 


-2.0 


00542 


03 


MARIN/NAPA/SOLANO, CA 


1.180 


1.198 


-0.018 


-1.5 


00951 


40 


GREEN BAY (NORTHEAST), Wl 


0.894 


0.913 


-0.019 


-2.1 


00542 


04 


SACRAMENTO/SURR. CNTYS, CA 


1.069 


1.088 


-0.019 


-1.7 


00900 


12 


DENTON, TX 


0.952 


0.971 


-0.019 


0.0 


00542 


15 


SAN BERNADINO/E.CTRL CNTYS CA 


1.056 


1.077 


-0.021 


-1.9 


00542 


27 


RIVERSIDE, CA 


1.059 


1.080 


-0.021 


-1.9 


00542 


10 


MERCED/SURR.CNTYS, CA 


0.988 


1.009 


-0.021 


-2.1 


01360 


05 


NEW MEXICO 


0.903 


0.925 


-0.022 


-2.4 


00973 


50 


VIRGIN ISLANDS 


0.978 


1.000 


-0.022 


-2.2 


00900 


03 


SOUTHEAST RURAL TX 


0.872 


0.895 


-0.023 


-2.6 


00973 


20 


PUERTO RICO 


0.739 


0.763 


-0.024 


-3.1 


00630 


03 


REST OF IN 


0.872 


0.896 


-0.024 


-2.7 


01390 


01 


W & SE WA (EXCL SEATTLE) 


0.968 


0.992 


-0.024 


-2.4 


00951 


60 


OSHKOSH (E CNTRL), Wl 


0.886 


0.911 


-0.025 


-2.7 


00801 


02 


ROCHESTER/SURR. CNTYS, NY 


0.992 


1.017 


-0.025 


-2.5 


10250 


01 


REST OF MISSISSIPPI 


0.813 


0.838 


-0.025 


-3.0 


00640 


05 


DES MOINES (POLK/WARREN), lA 


0.941 


0.966 


-0.025 


-2.6 


00528 


07 


ALEXANDRIA, LA 


0.864 


0.889 


-0.025 


-2.8 


00900 


02 


NORTHEAST RURAL TX 


0.857 


0.883 


-0.026 


-2.9 


00630 


01 


METROPOLITAN IN 


0.937 


0.963 


-0.026 


-2.7 


00865 


03 


SM PA CITIES 


0.917 


0.945 


-0.028 


-3.0 


01370 


00 


OKLAHOMA 


0.882 


0.911 


-0.029 


-3.2 


10490 


02 


TIDEWATER & N VA CNTYS 


0.965 


0.994 


-0.029 


-2.9 



A-IV-15 



1 



4 



APPENDIX IV-3 

DIFFERENCE BETWEEN 1996 RESCALED PRACTICE EXPENSE GPCI AND 1992 PRACTICE EXPENSE 
GPCI BY MEDICARE PAYMENT LOCALITY, RANKED IN DESCENDING ORDER OF DIFFERENCE 



1996 









Rescaled 


1992 












Practice 


Practice 






Carrier 


Locality 




Expense 


Expense 




Percent 


Number 


Number 


Localitv Name 


GPCI 


GPCI 


Chanae 

X^ ■ 1 vl ■ 1 w 


Chanae 


00621 


12 


EAST ST LOUIS IL 


0.929 


0.958 


-0.029 


-3.0 


00900 

W w w V w 


16 


GRAYSON TX 


0.874 


0.903 


-0.029 


-3.2 


11260 


02 


SM E CITIES MO 


0.809 


0.838 


-0.029 


-3.5 


00865 


04 


REST OF PA 

1 » ^™ x^ ■ x^ I 1 / \ 


0.899 


0.929 


-0.030 


-3.2 


00528 


50 


REST OF LA 


0.850 


0.880 


-0.030 


-3.4 


00621 


09 

w w 


SPRINGFIELD IL 


936 

w. www 


966 

w , w V./ w 


-0 030 

w . www 


-3.1 


00740 


06 

WW 


RURAL NW COUNTIES MO 


835 

w . KJsisJ 


866 

VJ. Www 


-0 031 


-3.6 




04 


Mil WAUKFF Wl 


n Q78 


1 noQ 
1 


-0 031 


-3 1 

w. I 




1 1 




n Q77 


1 nno 

1 .UWi7 


-D 039 








WAI |c:AI 1 PMTRI ^ \A/I 


u.ooo 


n RQR 


-fl 039 




\J 1 oou 


U 1 


PDRTI AKin PT Al ^PITIF<5^ OR 


1 nnn 

1 .uuu 


t .uoo 


-0 033 






DR 

UD 


RP<5T ClF Al 


U.O 1 o 


n Rm 

U.OQ 1 


-0 033 


-'^ Q 

w . w 






VJinDMIN IVIIOOIOOIr rl 


VJ.OOO 




-0 034. 


xJ .O 




04 




U.O 1 o 




-0 034 


-4 

" . w 


01380 


1 ? 


SW OR CITIFS (CITY 1 I^yllT*=5^ 
ovv WIN wl 1 it^o 1 1 Liivii 1 




n Q8a 


-0 034 


-3.4 


006P1 


1fi 


HHirAGO It 
Vi/nivyAAvjw, 11— 


1 nflfi 


1114 

I.I 1 *T 


-0 034 

w. ww*T 


-3 1 


00820 


01 

w 1 


NORTH DAKOTA 


860 

w .(xww 


895 

w . w w w 


-0.035 


-3.9 


00900 

W W W w w 


19 

1 w 


MC ALLEN TX 


837 

w . U w ( 


873 

W.W I w 


-0.036 


-4.1 


00710 


02 


MICHIGAN NOT DETROIT 

1 V 1 1 \^ I II ^^/^l ^1 1 ^ 1 ^x 1 1 \ ^X 1 1 


0.935 


0.971 


-0.036 


-3.7 


00621 


10 


CHAMPAIGN-URBANA IL 


0.884 


0.920 


-0.036 


-3.9 


11260 


03 


REST OF MO 

1 \^_^X 1 ^X 1 IVI^X 


0.810 


0.847 


-0.037 


-4.4 


00550 


01 


COLORADO 

XXXX^^Xl X#%^X^^ 


0.951 


0.988 


-0.037 


-3.7 


00900 

WW Www 


29 

«_ w 


ABILENE TX 


n 851 


888 

w ,\J\J\J 


-0.037 


-4.2 


00900 

W W W w w 


27 


TYLER TX 


8Q4 

w.*xw*t 


931 

W . WW 1 


-0.037 


-4.0 


00542 


02 

w^ 


NF RURAI CA 




n QQO 

\J , www 


-0 037 

W. WW / 


-3.7 


00951 

wwww 1 


14 


I nvvto 1 vvi 






-0 038 

w. wwW 


-4 3 

"T. w 


00690 

www WW 


03 

WW 


SOUTH & F SHORF MD 


n 97? 

w. w r ^ 


1 010 

1 . w 1 \J 


-0.038 


-3.8 


00951 

wwww 1 


13 

1 w 


CFNTRAI Wl 


n 84Q 


n 888 


-0 039 

w .www 


-4.4 


00900 

W W W W w 


34 

W*T 


WICHITA FAI 1 S TV 


n 8'^7 


896 


-0.039 


-4.4 


01290 

W 1 C_WW 


03 

wO 


Fl KO A Fl Y fPITIF<^^ M\/ 


n Q8R 


1 .WiCx/ 


-0 040 

W. V/*TW 


-3.9 


00951 


19 

1 w 


LA CROSSF (\N CNTRI ^ Wl 

1— xxFAxxvxsxU. ^VV wIN 1 r\L.J| VVI 


n 87Q 


919 

w. w 1 w 


-0.040 


-4.4 


00640 


07 


SOUTHWEST IOWA 


0.860 


0.900 


-0.040 


-4.4 


00900 


10 


BROWNSVILLE, TX 


0.848 


0.888 


-0.040 


-4.5 


00640 


01 


SOUTHEAST IOWA 


0.892 


0.933 


-0.041 


0.0 


00542 


07 


OAKLAND/BERKLEY, CA 


1.215 


1.258 


-0.043 


-3.4 


11260 


01 


ST. LOUIS/LG E. CITIES. MO 


0.921 


0.964 


-0.043 


-4.5 


00621 


06 


KANKAKEE, IL 


0.881 


0.925 


-0.044 


-4.8 


00640 


04 


S CNTRL lA (EXCL. DES MOINES) 


0.837 


0.881 


-0.044 


-5.0 


00640 


06 


NORTHWEST IOWA 


0.846 


0.890 


-0.044 


-4.9 


00640 


02 


NORTHEAST IOWA 


0.873 


0.918 


-0.045 


-4.9 


00900 


24 


CORPUS CHRISTI, TX 


0.898 


0.944 


-0.046 


-4.9 


01030 


02 


TUCSON, AZ 


0.942 


0.989 


-0.047 


-4.8 



A-IV-16 



5 



APPENDIX IV-3 

DIFFERENCE BETWEEN 1996 RESCALED PRACTICE EXPENSE GPCI AND 1992 PRACTICE EXPENSE 
GPCI BY MEDICARE PAYMENT LOCALITY, RANKED IN DESCENDING ORDER OF DIFFERENCE 



1996 









Rescaled 


1992 












Practice 


Practice 






Carrier 


Locality 




Expense 


Expense 




Percent 


Number 


Number 


Locality Name 


GPCI 


GPCI 


Chanqe 


Chanqe 


00542 


13 


KINGS/TULARE, CA 


0.954 


1.001 


-0.047 


-4.7 


16510 


19 


OHIO RIVER VALLEY, WV 


0.833 


0.881 


-0.048 


-5.4 


00951 


12 


NORTHWEST Wl 


0.850 


0.898 


-0.048 


-5.3 


00660 


02 


SM CITIES (CITY LIMITS) KY 


0.850 


0.898 


-0.048 


-5.3 


05130 


11 


SOUTH IDAHO 


0.887 


0.936 


-0.049 


-5.2 


00951 


46 


MILWAUKEE SUBURBS (SE), Wl 


0.959 


1.008 


-0.049 


-4.9 


00528 


02 


SHREVEPORT, LA 


0.889 


0.940 


-0.051 


-5.4 


01390 


03 


E CNTRL & NE WA 


0.943 


0.995 


-0.052 


-5.2 


00621 


03 


DE KALB, IL 


0.873 


0.925 


-0.052 


-5.6 


00510 


04 


MOBILE, AL 


0.858 


0.911 


-0.053 


-5.8 


01030 


01 


PHOENIX, A2 


0.963 


1.016 


-0.053 


-5.2 


05130 


12 


NORTH IDAHO 


0.864 


0.917 


-0.053 


-5.8 


00710 


01 


DETROIT, Ml 


1.038 


1.091 


-0.053 


-4.9 


00660 


03 


REST OF KENTUCKY 


0.821 


0.875 


-0.054 


-6.2 


00621 


01 


NORTHWEST, IL 


0.842 


0.896 


-0.054 


-6.0 


00528 


01 


NEW ORLEANS, LA 


0.946 


1.003 


-0.057 


-5.7 


00825 


21 


WYOMING 


0.881 


0.938 


-0.057 


-6.1 


00542 


14 


BAKERSFIELD , CA 


0.992 


1.050 


-0.058 


-5.5 


00900 


30 


SAN ANGELO, TX 


0.844 


0.902 


-0.058 


-6.4 


16510 


17 


WHEELING, WV 


0.840 


0.900 


-0.060 


-6.7 


01290 


01 


LAS VEGAS, ET AL. (CITIES), NV 


1.022 


1.082 


-0.060 


-5.5 


16510 


20 


SOUTHERN VALLEY WV 


0.815 


0.876 


-0.061 


-7.0 


01380 


03 


SALEM ETAL (CITIES) OR 


0.929 


0.990 


-0.061 


-6.2 


00910 


09 


UTAH 


0.891 


0.952 


-0.061 


-6.4 


00900 


20 


BEAUMONT, TX 


0.893 


0.955 


-0.062 


-6.5 


00900 


25 


ORANGE, TX 


0.893 


0.955 


-0.062 


-6.5 


00751 


01 


MONTANA 


0.864 


0.926 


-0.062 


-6.7 


00621 


11 


DECATUR, IL 


0.864 


0.927 


-0.063 


-6.8 


00900 


17 


LONG VIEW, TX 


0.863 


0.929 


-0.066 


-7.1 


01290 


99 


REST OF NEVADA 


1.013 


1.079 


-0.066 


-6.1 


01380 


02 


EUGENE, ET AL. (CITIES), OR 


0.938 


1.008 


-0.070 


-6.9 


00528 


06 


LAFAYETTE, LA 


0.857 


0.928 


-0.071 


-7.7 


00640 


03 


NORTH CENTRAL IOWA 


0.845 


0.916 


-0.071 


-7.8 


00900 


13 


ODESSA, TX 


0.900 


0.971 


-0.071 


-7.3 


00528 


03 


BATON ROUGE, LA 


0.894 


0.966 


-0.072 


-7.5 


00621 


07 


QUINCY, IL 


0.824 


0.896 


-0.072 


-8.0 


00621 


14 


SOUTHERN IL 


0.822 


0.896 


-0.074 


-8.3 


00621 


08 


NORMAL. IL 


0.893 


0.968 


-0.075 


-7.7 


00621 


02 


ROCKFORD, IL 


0.941 


1.018 


-0.077 


-7.6 


16510 


16 


CHARLESTON, WV 


0.881 


0.962 


-0.081 


-8.4 


00621 


13 


SOUTHEAST IL 


0.814 


0.896 


-0.082 


-9.2 


00690 


02 


WESTERN MD 


0.930 


1.013 


-0.083 


-8.2 



A-IV-17 



APPENDIX IV-3 

DIFFERENCE BETWEEN 1996 RESCALED PRACTICE EXPENSE GPCI AND 1992 PRACTICE EXPENSE 
GPCI BY MEDICARE PAYMENT LOCALITY, RANKED IN DESCENDING ORDER OF DIFFERENCE 









1996 














Rescaled 


1992 












Practice 


Practice 






Carrier 


Locality 




Expense 


Expense 




Percent 


Number 


Number 


Localitv Name 


GPCI 


GPCI 


Chanae 


Chanqe 


01380 


99 


REST OF OREGON 


0.907 


0.997 


-0.090 


-9.0 


01290 


02 


RENO, ET AL. (CITIES), NV 


1.049 


1.141 


-0.092 


-8.1 


00900 


23 


MIDLAND, TX 


0.900 


0.998 


-0.098 


-0.1 


00621 


04 


ROCK ISLAND, IL 


0.858 


0.958 


-0.100 


-10.4 


01020 


01 


ALASKA 


1.155 


1.255 


-0.100 


-8.0 


00900 


32 


VICTORIA, TX 


0.868 


0.973 


-0.105 


-10.8 


00621 


05 


PEORIA, IL 


0.906 


1.031 


-0.125 


-12.1 



A-IV-18 



APPENDIX n-A 



COMMERCIAL OFHCE RENT DATA FOR NEW YORK CITY 

Physicians from New York City have expressed concern that the current New York 
City rental index, which is based on the fair market rent of Bergen/ Passaic Coimty, NJ, does 
not accurately reflect the rents faced by physicians in Manhattan.^ 

The College of Physicians and Surgeons of Columbia University sponsored a study of 
the accuracy of the current New York City office rental component of the GPCI (Schmitz, 
1991). The goal of Schmitz's study was to gain a better imderstanding of variation in 
physician practice costs among New York City boroughs, and to calculate a revised New 
York City GPCI based on commercial office rental data. He relied primarily on the SIOR 
data described in Chapter 2, which he states was the only available source at the time of the 
study. He found that the current office rental index is as much as 40 percent too low for 
New York City. 

Three of the four sources described in Chapter 2 report information for New York 
City: BOMA, SIOR, and ULI. Each reports data for a different type of space. BOMA reports 
downtown Class A and suburban Class A. SIOR reports downtown Class A and downtown 
Class B. Only one overall number is reported by ULI. Table A-1 of this appendix displays 
commercial office rents reported for New York City. Tables A-2 through A-5 provide 
comparable data for areas surroimding New York City, such as Westchester Counh'^ and 
Nassau/ Suffolk coimties. 

Reported New York City rents, for Class A space, range from $29.35 (BOMA) to 
$36.07 (SIOR), a 23 percent difference (Table A-1). According to BOMA, average c'^^ce rents 
for Class A space in Stamford, Connecticut are about the same as those for NYC: !t)29.35 for 
New York City and $29.43 for Stamford (Tables A-1 and A-5). However, SIOR reports very 
different rents for the two cities: $36.07 for New York City compared to $22.00 for Stamford 
(Tables A-1 and A-5). Only two sources, SIOR and ULI, report data for Westchester Coimty. 
The mean rents are similar between the two sources (Table A-2). For Newark, NJ, the three 
sources report very different rents. For Suburban Class A space in Newark, the average 
reported rent is $14.11 for BOMA; $21.25 for SIOR; and $26.00 for ULI. 



New York Qty Physician groups expressed their concerns in two letters to HCFA: Medical Society of the State of New 
Yorli^ 8/91; and College of Physicians and Surgeons of Columbia University, 9/91. 



A-II-1 



II 



As we discussed in Chapter 2, commercial office rent data is unreliable: reported 
rents vary substantially among sources. We have demonstrated here that there is 
considerable variation among reported rents for the New York City area. Had Schmitz 
chosen one of the other sources, particularly BOMA, which reports office rents 23 percent 
lower than SIOR rents, the results of his study wovdd have been very different. Which 
source best describes New York City? It is impossible to determine \^hich of ttie publications 
is most accurate; each one suffers from the limitations described in Chapter 2, such as small 
sample sizes and the inability of commercial office rent data to represent physician office 
space. Therefore, in our judgment, the commercial office rent data is not a useful indicator of 
physician office rents in the New York City area or in other areas. 



TABLE A-1 



MEAN OFFICE RENT IN DOLLARS PER SQUARE FOOT, 1991 : NEW YORK CITY 



SOURCE 



BOMA 



StOR 



IREM 



OVERALL 



DOWNTOWN: CLASS A (a) 

Mean ($/SF) 
Median 



DOWNTOWN: CLASS B 

Mean 
Median 



SUBURBAN: CLASS A (a) 

Mean 
Median 



SUBURBAN: CLASS B 

Mean 
Median 



$29.35 
$29.95 



$19.13 
$18.52 



N 



45 



$36.07 



$20.30 



$35.63 



(a) BOMA distinguishes between "downtown" and "suburiaan"; SIOR distinguishes between "CBD" (Central Business 
District) and "outside CBD"; and ULI distinguishes between "downtown" and "suburtian high-rise". 

SOURCE: 1992 Building Owners and Managers Association (BOMA) Experience Exchange Report; Society of Industrial 

and Office Realtors (SIOR) 1 992 Guide- Comparative Statistics of Industrial and Office Real Estate Mari<ets; Urban 
Land Institute (ULI)- Mari<et Profiles 1992; and Institute of Real Estate Management (IREM)- 1992 Office Buildings. 



A-II-3 



L 



TABLE A-2 



MEAN OFFICE RENT IN DOLLARS PER SQUARE FOOT, 1991: WESTCHESTER COUNTY, NY 







SOURCE 






BOMA 


SIOR 


ULI 


IREM 






i N 


i N 


$ N 


i N 


OVERALL 












DOWNTOWN: CLASS A 

Mean ($/SF) 
Median 


(a) 


-- 


$23.00 (b) -- 


$22 - 25 - - 


-- 


DOWNTOWN: CLASS B 

Mean 
Median 




-- 


$19.00 


-- 


-- 


SUBURBAN: CLASS A 

Mean 
Median 


(a) 




$20.00 


$19-$22 




SUBURBAN: CLASS B 

Mean 
Median 






$15.00 







(a) BOMA distinguishes between "downtown" and "subuilDan"; SIOR distinguishes between "CBD" (Central Business 
District) and "outside CBD"; and ULI distinguishes bietween "downtown" and "office park". 

(b) SIOR figures include Westchester and Rockland counties combined. 

SOURCE: 1992 Building Owners and Managers Association (BOMA) Experience Exchange Report; Society of Industrial 

and Office Realtors (SIOR) 1 992 Guide- Comparative Statistics of Industrial and Office Real Estate Mari<ets; Urban 
Land Institute (ULI)- Mari<et Profiles 1992; and Institute of Real Estate Management (IREM)- 1992 Office Buildings. 



A-II-4 



TABLE A-3 



MEAN OFFICE RENT ON DOLLARS PER SQUARE FOOT. 1991: LONG ISLAND (^^IASSAU/SUFFOLK 
COUNTIES) 









SOURCE 








BOMA 


StOR 


uu 


IREM 








i N 


i N 




$. ^. 




OVERALL 
















DOWNTOWN: CLASS A 

Mean ($/SF) 
Median 


(a) 








$15.00 




DOWNTOWN: CLASS B 

Mean 
Median 














SUBURBAN 

Mean 
Median 


■ CLASS A 


(a) 




$23.75 




$25.00 




SUBURBAN 

Mean 
Median 


CLASS B 






$19.52 









(a) BOMA distinguishes between "downtown" and "suburtjan"; SIOR distinguishes between "CBD" (Central Business 
District) and "outside CBD"; and ULI distinguishes between "downtown" snd "office parl<". 

SOURCE: 1992 Building Owners and Managers Association (BOMA) Experience Exchange Report; Society of Industrial 

and Office Realtors (SIOR) 1992 Guide- Comparative Statistics of Industrial and Office Real Estate Mari<ets; Urt»an 
Land Institute (ULI)- Market Profiles 1992; and Institute of Real Estate Management (IREM)- 1992 Office Buildings. 



A-II-5 



TABLE A-4 



MEAN OFFICE RENT IN DOLLARS PER SQUARE FOOT, 1991: NEWARK, NJ 









SOURCE 








BOMA 


StOR 


ULI 


IREM 








i N 


i N 




i N 


$ N 


OVERALL 
















DOWNTOWN: CLASS A 

Mean ($/SF) 
Median 


(a) 


-- 






$24.00 - - (c) 


-- 


DOWNTOWN: CLASS B 

Mean 
Median 




-- 






-- 


-- 


SUBURBAN 

Mean 
Median 


: CLASS A 


(a) 


$14.11 14 
$10.29 


521.25 (b) 




$26.00 




SUBURBAN 

Mean 
Median 


CLASS B 






$16.50 









(a) BOiVIA distinguishes between "downtown" and "subuitran"; SIOR distinguishes between "CBD" (Central Business 
District) and "outside CBD"; and ULI distinguishes between "downtown" and "office park". 

(b) SIOR and ULI figures include all of Northern New Jersey. 

(c) ULI rents for Northern NJ are for Development Mari<ets. 

SOURCE: 1992 Building Owners and Managers Association (BOMA) Experience Exchange Report; Society of Industrial 

and Office Realtors (SIOR) 1 992 Guide- Comparative Statistics of Industrial and Office Real Estate Mari<ets; Urban 
Land Institute (ULI)- Mari<et Profiles 1992; and Institute of Real Estate Management (IREM)- 1992 Office Buildings. 



A-II-6 



TABLE A-5 



MEAN OFFICE RENT IN DOLLARS PER SQUARE FOOT, 1991: STAMFORD, CT 





SOURCE 




SOMA 


StOR 


ULI 


tRElVt 


OVERALL 


$ N 


i N 


i N 


$ N 


DOWNTOWN: CLASS A 

Mean ($/SF) 
Median 


$29.43 8 


$22.00 (b) -- 


-- 


-- 


DOWNTOWN: CLASS B 

Mean 
Mpdir^n 




«1(S en 

^ lO.QU 






SUBURBAN: CLASS A 

Mean 
Median 


$21.13 5 
$23.14 








SUBURBAN: CLASS B 

Mean 
Median 











(a) BOMA distinguishes between "downtown" and "suburban"; SIOR distinguisties between "CBD" (Central Business 
District) and "outside CBD"; and ULI distinguishes between "downtown" and "office parl<". 

(b) SIOR figures include Stamford and Norwall< areas combined. 

SOURCE: 1992 Building Owners and Managers Association (BOMA) Experience Exchange Report; Society of Industrial 

and Office Realtors (SIOR) 1992 Guide- Comparative Statistics of Industrial and Office Real Estate Mari<ets; Urban 
Land Institute (ULI)- Market Profiles 1992; and Institute of Real Estate Management (IREM)- 1992 Office Buildings. 



A-II-7 



APPENDIX n-B 



NOTES FROM DISCUSSIONS WITH NEW YORK CTIY REAL ESI ATE PROFESSIONALS 



The following comments are from telephone discussions with various New York City 
real estate professionals. The first two people were chosen because of theL' ucffiliation with 
two of the four sources of commercial office rent: SIOR and ULl. They provided insight into 
the extent to which commercial office rent data reflect rents for physicians' offices. The 
following three real estate professionals were recommended by the first two as experts on the 
physician office market in Manhattan. Unfortimately, as Rosanne McKeown points out, it is 
very difficult to find one person familiair with the surroimding boroughs, such as Brooklyn 
and Queens, because unlike Manhattan, the real estate markets in those boroughs are very 
fragmented. 

Leon Casper, Cushman & Wakefield, Inc. (212)841-7500: Mr. Casper supplies the 
rents that appear in the 1992 SIOR. He is based in Manhattan. The SIOR data was used by 
Schmitz (1991) to argue for a higher office rental GPCI for New York City. The SIOR is one 
of four major national sources of commercial office rent data. 

• Commercial sources of rent are not representative of physician office space. 
Particularly, the SIOR space is not representative of physician office space (he 
supplied the numbers to SIOR for New York City). The SIOR number is much 
more representative of World Trade Center-type space; i.e., upscale commercial 
space. 

• Residential rents are much more representative of physicians' situations. 
Physicians typically locate in smaller buildings or in residential buildings 
(groimd floor). 

• Range of physicians' rents too difficult to speculate on. Physician space is 
generally more expensive because of the "extensive installations" necessary for 
physician space (e.g., extensive plumbing, climate confrol, elecfrical outlets, 
lighting, etc.) 

Beth Krugmaiv Landauer Associates, Inc. (212)687-2323: Ms. Krugman supplies the 
rents that appears in the 1992 ULI. She is based in Manhattan. ULI data is one of four major 
national sources of commercial office rent data. 

• Urban Land Institute rents do not reflect physician office space. ULI data 
would be a "terrible" representation of physician space. ULI includes only 
Manhattan. 



A-II-8 



• Extra fittings make physicians' space more expensive, but they generally do 
not locate in the higjh-rent commercial areas (i.e. World Trade Center) 

• Grotmd floor residential is a better "average" indicator of where physicians 
locate. 

Joseph Coheiv Hebnsky & Spear (212)880-0164: Mi. Cohen is a New York City real 
estate specialist and was referred to the authors by Beth Krugmaii of Landauer Associates. 
He specializes in physician office brokering and was very knowledgeable about the New 
York City rental market. 

• Commercial rental data a very poor indicator of physician space. 

• Physicians generally locate in ground floors of condos and co-ops, usually in 
residential areas. 

• Many commercial buildings prefer not to rent to physicians (particularly those 
that perform abortions, because of the potential for demonstrations and 
protests) 

• Extra fittings in physicians' offices are outweighed by their location; while 
fittings may drive up the price, the fact that they are not in the World Trade 
Center drives down the price. 

• From his experiences, average office space costs for physicians in the New 
York area is $35-$50, with a "huge" variance. Location, even a block's 
difference, can make a "huge" difference in rent. 

• Some physicians have rent-controlled office space. 

Jonathan West, Charles H. GreenUial (212) 340-9322: Mr. West is a New York City 
broker that specializes in physician space and was referred to the authors by Leon Casper of 
Cushman and Wakefield. 

• Physicians generally locate near hospitals, although there is tremendous 
variation in prices according to which hospital and other factors. 

• There is usually lots of negotiation in renting physician space. Amenities do 
not accoimt for higher prices but iiistead are used as bargaining chips or as 
selling points. 

• Physician space ranges fiom $25 to $40 with ten-year leases. 

• Physician space is thought to be in a class by itself, usually referred to as 
"professional space," therefore it is not at all reflected in the commercial space 
figures stated in BOMA or SIOR. 



A-II-9 



• He has never heard of physicians in rent-controlied space. 

Rosanne McKeown, Douglas, Elliman, Givens, and Ives |212) 705-4705: Ms. 
McKeown is a New York City broker referred to the authors by L^n Casper of Cushman 
and Wakefield. She stated that her company is the leader in Manhatian for the 
rental/ brokering of physician office space, and she is a specialist in the physician office 
market. 



Physicians generally locate near hospitals. Most hospitals are near the Park 
Avenue and 70s— therefore physicians usuaJJy locate near Park Avenue 
between 60th and 98th, with some locating near Greenwich Village. These also 
happen to be among the most expensi ve pajjts of Manhattan. 

Physician space is very expensive. Besides tend^rvg to 'lOcate in high-rent areas, 
physicians' offices require a huge initial investment m pltmibing, wiring, 
partitions, etc. Just to prepare an old physician's office for a new physician 
tenant, renovations can easily exceed $100,000. 

The average physician office space sells / rents for $20-$70 per square foot, 
depending almost exclusively on exact location. 

Commercial rents do not proxy physician rents very weU. Commercial rents 
are a better indicator of large dc vntown office space. It is not common for 
physicians to want to locate in such buildings, and it is often the policy of 
large office buildings to not allow physicians to rent. 

There is very little variation by practice size. The rate per square foot is the 
same for a large group of physicians as it would be for a smaller group or a 
solo physician. 

In Manhattan, physicians typically own their space, since their space is usually 
part of a co-op. 

It would be difficult to find any information concerning the other boroughs, 
since physician office space in the non-Manhattan boroughs is usually handled 
by many small real estate agencies. There is no generalizable "market" in the 
boroughs as there is in Manhattan. 



A-II-IO 



APPENDIX 11-1 



1 



ALTERNATIVE OFFICE RENTAL INDICES. BY MEDICARE PAYMENT LOCALITY 
(sorted by carrier and locality number) 



FAIR MARKET RENT 



1991, County- County- 



f^arripr 

wCII 1 Id 


1 nculitv 








1 90 f 1 








fill imWov 


IMUIIIUci 


i_ocaiiiv lAiame 






lyyo 


■1QQ0 ^ 




iQQO d 


UUO 1 u 


U 1 


modtn\a/cc:t a I 
InvJK I nvvto 1 AL 


n f\Q7 
u.oy / 


u.oyi 


u.oy4 


n RQO 

u.oyo 


n RQO 

u.oyz 


n RQ'^ 
u.oyo 


UU01 u 


no 




n 

U.ODD 


U.D40 


u.bbo 


n etAy 
U.04/ 


n ciAd 

U.b4b 


A R>in 

u.04y 


UUO I u 


uo 


COI ITUCACT Al 
oUU 1 MtAo 1 AL 


n R7Q 
u.D/y 


n R70 


n <57<; 
u.b/b 


n Ci7A 

U.b/4 


n R70 

U.b/ o 


n R7R 
U.D/D 


UUOlU 


U4 


MUblLb, AL 


A Q07 


A 707 
U. lOI 


n OA7 

U.oU/ 


A 70A 

u. /By 


A 7Q7 

U. lol 


n 7QO 

u. /yz 


UUO lU 


UO 


Dl Jl 1 Kl/^LJ A i Jl Al 

DiKMINCjnAM, AL 


U. /ol 


A 7>1 A 

u. /4y 


A 7CC 

U. /bb 


A 7C A 

U. /bl 


A 7CA 

U. / bU 


A 7C/1 

U. /04 


UUOlU 


Uo 


DCCT A 1 

Kbo 1 Ur AL 


A iJOA 

U.bzy 


A COO 


A COC 

U.bzb 


A iSOC 

U.bzb 


A COO 

U.bzo 


n ROR 

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n ACQ 
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n R70 

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UUOi^o 


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NtW UKLcAlNo, LA 


i n-i -1 
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A 7fH 

u. / yi 


n Qni 

u.yui 


n QQi 
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n 7QO 

u. /yz 


n 7QR 

u. / yo 






Cl-4DC\/CD(^DT 1 A 

onKcVtrUK 1 , LA 


U.oo/ 


A 7QQ 

u. /yo 


n Q 

U.olo 


n 7QQ 

u. /yy 


n 70Q 

u. / yy 


n ftno 
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UUDZo 


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n QO<5 


n QQA 

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u.ooo 


n fton 
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uuozo 


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1 Al^C ^l-IADI CC 1 A 
LAr\t UnAKLto, LA 


n 7*30 

U. / oz 


n 70^ 
U. / 


n 70R 
U. 1 2.0 


n 71 /I 
U. / T4 


n 70-1 


n 70'=; 
u. / zo 




nti 
UO 


MUnJKUb, LA 


A 70C 

U. / ob 


A 7Ad 
U. /Ul 


A 7*1 O 

U. /lo 


n 7ni 

U. /Ul 


n 7ni 
U. /U 1 


n 7nt^ 
u. / uo 


UUQZO 


nR 
UD 


1 ACAVCTTC 1 A 

LArAYtl It, LA 


n Q/n 
U.o4o 


A 0/1 H 

U.041 


n D/10 
U.o4z 


n o/io 
U.o4o 


n fi/io 


n fl/iR 

U.O'tD 


uuo^o 


n7 
U/ 


Al CYAMHDIA 1 A 
ALtAAlNUKIA, LA 


A 7*30 
U. / OO 


A 7A'3 

U. /Uo 


n 70i 
U. /zl 


n 7nA 
U. / U4 


n 7nA 


n 7n7 
u. / u / 




f;n 
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DCQT 1 Ol IICIAMA 

Kto 1 \Jr LvJUIolAfNA 


n 

U.DoD 


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ni 

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M ^/^AOXAI r^MXVO ^A 

N. UUAo 1 AL ON 1 Yo, UA 


*1 OAQ 


•1 ooo 
1 .^o2 


•1 OOi 
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1 .zoo 


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no 
U^ 


NIC Dl ID Al ^ A 
INC KUKAL UA 


n Q7>i 
u.y/4 


n Qo^ 
u.yzo 


u.ybi 


A QOR 


n QOQ 


U. 900 


uuohz 


no 
Uo 


A)l A DIM/M A n A /O/^l AM/^ A 

MAKIN/NAFA/bULANU, UA 


1 .4ob 


H /1 70 

1.4/0 


d >1 7Q 

1 .4/ y 


1.40/ 


1 /i7n 
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1 .n 1 O 


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1.1 bo 


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1.1 bz 


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1 . 1 bu 


-1 1 e;o 
1 . 1 oc 


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UU04^: 


nc 

Uo 


oAN rKANCIoCO, CA 


l./oO 


1 . / 4o 


H 7 OA 

1 . / oy 


A 70Q 


-! 7Rn 
1 . /DU 


1 7RQ 

1 . / oy 


UU04^i 


Ob 


SAN MATEO, CA 


1.730 


1.748 


1 .739 


A 700 

1 . / zo 


1 7/10 

1 . /4z 


1 . / 1 


UU04z 




OAKLAND-BERKELEY, CA 


1.580 


1.457 


i.biy 


1 .441 


1 .400 


1 4RR 

1 .'too 


UU04^ 


AO 

Oo 


STOCKTON/SURR. CNTYS, CA 


0.996 


1.019 


1 .00/ 


A c\r\A 

1 .uui 


A Aon 
1 .UzU 


-1 noc; 
1 .uzo 


UU04<ti 


AA 

09 


O A k IT A ^ 1 A r~i A A 

SANTA CLARA, CA 


1.719 


1.61 1 


1.665 


A C AO 

i.byj 


1 RIO 

1 .biz 


1 .OZ 1 


UUb42 


10 


MERCED/SURR. CNTYS, CA 


1.038 


1.020 


1.029 


A f\A O 

l.Olo 


•1 AO-I 

1 .Uzl 


\ .UZO 


UUo4z 


11 


FRESNO/MADERA, CA 


1.010 


0.979 


0.994 


A A77 

o.y/ / 


A n70 

u.y /y 


u.yoo 


UUb42 


A O 

12 


MONTEREY/SANTA CRUZ, CA 


1.327 


1.321 


A OO A 

1.324 


A 'iA A 

l.oll 


•1 ooo 
1 .ozz 


•1 OOQ 

1 .ozy 


UUo4z 


A O 

13 


iyiki^^(^/Ti II Ar^^ A 

KINGS/TULARE, CA 


1.055 


1.009 


1.032 


1 .00/ 


H AHA 
1 .Ul U 


1 ni c; 

1 .U 1 


UUo4z 


A A 

14 


OAixr~n^^i^i r> ^a 

BAKERSFIELD, CA 


1.106 


1.083 


A r\r\c 

1.095 


A AOO 

l.Ooz 


A f\CiA 

1 .Uo4 


1 non 
1 .uyu 


UUo42 


A C 

15 


o A k 1 ^ k I A 1 k 1 ^\ ir~ ^\ ^ k i^ri™» a i a 

SAN BERNADINO/E. CENTRAL CA 


1.172 


1.178 


A A ~7C 

1.175 


A A ~7C 

1.1 /b 


A A AC 
1 .140 


1 . 1 1 


UUt34z 


2.1 


RIVERSIDE, CA 


A A ~7"7 

1.177 


1.180 


1.178 


•1 A 7 a 

1.1 /b 


A OOO 

1 .zzo 


1 OOQ 

1 .zzy 


UUODU 


A-l 
Ul 


COLORADO 


f\ OO A 

0.981 


A AO£^ 

0.93b 


A ACO 

o.ybo 


n 007 

u.yz/ 


n Q07 

u.yo/ 


u.yT 1 


UUOr U 


AH 
Ul 


DELAWARE 


A r\c A 

1.051 


H -1 oo 

1 .122 


1 .Oob 


-1 1 nt; 
1.1 Ub 


1 .14Z 


1 . 1 HO 


nn'^fin 

UUOoU 


n-i 
Ul 


U.U. + MU/VA oUdUKdo 


1.3/4 


•1 A AC 

1 .4yb 


A A'^A 

1 .4o4 


1 .40z 


^ 4QR 
1 .tyu 




00590 


01 


REST OF FLORIDA 


0.737 


0.755 


0.746 


0.757 


0.756 


0.759 


00590 


02 


NORTH/N.CNTRL FL CITIES 


0.913 


0.900 


0.906 


0.902 


0.900 


0.905 


00590 


03 


FORT LAUDERDALE, FL 


1.035 


1.065 


1.045 


1.042 


1.056 


1.061 


00590 


04 


MIAMI, FL 


1.071 


1.256 


1.163 


1.139 


1.257 


1.263 


00621 


01 


NORTHWEST, IL 


0.751 


0.736 


0.743 


0.742 


0.736 


0.740 


00621 


02 


ROCKFORD. IL 


1.011 


1.012 


1.011 


1.008 


1.030 


1.035 


00621 


03 


DE KALB, IL 


0.830 


0.962 


0.896 


0.966 


0.948 


0.953 


00621 


04 


ROCK ISLAND, IL 


0.883 


0.860 


0.872 


0.861 


0.861 


0.865 


00621 


05 


PEORIA, IL 


0.992 


0.958 


0.975 


0.962 


0.959 


0.964 


00621 


06 


KANKAKEE, IL 


0.810 


0.790 


0.800 


0.795 


0.791 


0.795 


00621 


07 


QUINCY, IL 


0.751 


0.687 


0.719 


0.693 


0.688 


0.691 


00621 


08 


NORMAL, IL 


0.891 


0.864 


0.878 


0.868 


0.865 


0.869 



A-II-11 



APPENDIX 11-1 



2 



ALTERNATIVE OFFICE RENTAL INDICES, BY MEDICARE PAYMENT LOCALITY 
(sorted by carrier and locality number) 



Carrier Locality 

Number Number Locality Name 



00621 


09 


SPRINGFIELD, IL 


00621 


10 


CHAMPAIGN-URRANA IL 


00621 


11 


DECATUR II 


00621 


12 


EAST ST I OUIS II 


00621 


13 


SOUTHEAST IL 


00621 


14 


SOUTHERN IL 


00621 


15 


SUBURBAN CHICAGO, IL 


00621 


16 


CHICAGO IL 


00630 


01 


METROPOLITAN INDIANA 


00630 


02 


URBAN INDIANA 


00630 


03 


REST OF INDIANA 


00640 


01 


SE IOWA HNCL IOWA CITY^ 


00640 


02 


NORTHEAST IOWA 


00640 


03 


NORTH rPNTRAI IOWA 


00640 


04 




00640 








OR 
uu 




00640 


07 


SOUTHWEST IOWA 


00650 


01 


REST OF KAMc;A«? 




nn 
uu 




nnRRfi 

UUQOU 


ni 

U 1 


1 CYIMOT/^M ff. 1 r\\ IIC\/II 1 C l^V 


uUOOU 


no 
uz 


bM Ol 1 Ito (Ul 1 Y Lllvll 1 o) KY 


UUOOU 


n*! 


Kbo 1 Ur r\hN 1 UCr\Y 


nnfion 


ni 

U 1 


dAL I IMUKt/oUKK. UlM 1 Yo, MU 


nnfion 


no 


Wto 1 tKrj MAKYLANU 


nnfion 

\J\J\J\3\J 


n^ 


ovJU 1 n + t. onUKt MU 


nn7nn 


ni 

U 1 


IvIAooAUnUot 1 1 o UKdAiN 


00700 


09 


MA«?^ <5I IPI IRRQ/RI IPAI /PITIF«;\ 


00710 


U 1 


nFTROIT Ml 
UC 1 rxVJi 1 , iVil 


00710 


09 


MIPHK^AW MOT nPTPrtlT 


00790 


nn 
uu 


lYlilNrNto*-' 1 A & 1 A 1 tWIUt: 


00740 


01 


ST. JOSEPH, MO 


00740 


02 


N. K.C. (CLAY/PU\TTE), MO 


00740 


03 


K.C. (JACKSON COUNTY), MO 


00740 


04 


SUBURBAN KANSAS CITY, KS 


00740 


05 


KANSAS CITY, KS 


00740 


06 


RURAL NW COUNTIES, MO 


00751 


01 


MONTANA 


00780 


40 


NEW HAMPSHIRE 


00780 


50 


VERMONT 


00801 


01 


BUFFALO/SURR. CNTYS, NY 


00801 


02 


ROCHESTER/SURR. CNTYS, NY 


00801 


03 


N. CENTRAL CITIES, NY 


00801 


04 


REST OF NEW YORK 


00803 


01 


MANHATTAN, NY 


00803 


02 


NYC SUBURBS/LONG 1.. NY 



FAIR MARKET RENT 



1991, County- County- 







1987, 


1992, 


Specific 


Specific 


1987 


1993 


1993 ^ 


1993 ^ 


1993 ° 


1993 ^ 


0.890 


0.881 


0.885 


0.884 


0.881 


0.886 


0.823 


0.801 


0.812 


0.805 


0.801 


0.805 


0.805 


0.772 


0.789 


0.777 


0.773 


0.777 


0.882 


0.851 


0.867 


0.865 


0.852 


0.857 


0.751 


0.6/5 


0.713 


0.681 


0.676 


0.679 


0.751 


0.699 


0.725 


0.705 


0.699 


0.703 


1.219 


1.243 


1.231 


1.229 


1.337 


1.344 


1.193 


1.218 


1.206 


1.205 


1.183 


1.189 


0.852 


0.864 


0.858 


0.863 


0.864 


0.869 


0.771 


0.750 


0.761 


0.754 


0.751 


0.755 


0.741 


0.729 


0.735 


0.734 


0.726 


0.730 


0.852 


0.837 


0.845 


0.840 


0.838 


0.842 


0.830 


0.816 


0.823 


0.818 


0.816 


0.821 


0.819 


0.785 


0.802 


0.788 


0.785 


0.790 


0.743 


0.738 


0.741 


0.745 


0.739 


0.743 


0.925 


0.896 


0.910 


0.894 


0.896 


0.901 


0.766 


0.729 


0.748 


0.734 


0.730 


0.734 


0.780 


0.759 


0.769 


0.763 


0.759 


0.763 


761 


742 


0.751 


0.744 


0.742 


0.746 


7^7 

U. / / 


n 744 

U. / *T*T 


7*10 


746 


0.744 


0.748 


n 7Q1 

u. / y 1 


7'=iR 


774 




0.757 


0.761 


U. 1 oo 


n 741 

U. / *T 1 


7'^R 


743 


0.741 


0.744 


n RQ^^ 


R74 

U.O / *T 


RR<i 


677 


0.675 


0.679 


I . ut^ 


1 n4n 


1 n4i 

1 .UH 1 


1 0?1 


1.040 


1.046 


1 nn4 


1 nR4 


1 0'^4 


1 04*5 


1.065 


1.070 


1 01*1 

\ .\J } o 


1 11*^ 


1 nfi4 


1.085 


1.102 


1.108 


1 .*T*T*T 


1 "^04 

1 . »JU*T 


1 "^74 


1.41 1 


1.306 


1.313 


1 979 


1 99"^ 


1 947 


1.282 


1.221 


1.228 




Q9fi 


QQO 


0.938 


0.932 


0.936 


R4'^ 


ROfi 


R9fi 


0.814 


0.805 


0.810 


0.937 


0.953 


0.945 


0.942 


0.953 


0.958 


0.698 


0.674 


0.686 


0.673 


0.675 


0.678 


0.885 


0.857 


0.871 


0.834 


0.858 


0.862 


u. ooo 


ft*i7 


871 


0.834 


0.858 


0.862 


0.885 


0.857 


0.871 


0.834 


0.858 


0.862 


0.885 


0.857 


0.871 


0.834 


0.858 


0.862 


0.702 


0.671 


0.687 


0.669 


0.672 


0.675 


0.847 


0.874 


0.860 


0.868 


0.874 


0.879 


1.170 


1.182 


1.176 


1.206 


1.183 


1.189 


0.965 


1.027 


0.996 


1.032 


1.028 


1.033 


0.842 


0.830 


0.836 


0.820 


0.831 


0.835 


1.008 


1 030 


1.019 


1.028 


1.031 


1.037 


0.887 


0.910 


0.898 


0.908 


0.910 


0.915 


0.862 


0.896 


0.879 


0.892 


0.896 


0.901 


1.578 


1.628 


1.603 


1.600 


2.102 


1.894 


1.565 


1.615 


1.590 


1.591 


1.476 


1.404 



A-II-12 



APPENDIX 11-1 



3 



ALTERNATIVE OFFICE RENTAL INDICES. BY MEDICARE PAYMENT LOCALITY 
(sorted by carrier and locality number) 



FAIR MARKET RENT 















1991, 


County- 


County- 


Carrier 


Locality 








1987, 


1992, 


Specific 


Specific 


Number 


Number 


Localitv Name 


1987 


1993 


1993 ^ 


1993 ^ 


1993 ^ 


1993 ^ 


00803 


03 


POUGHKPSIE/N.NYC SUBURBS 


1.104 


1.193 


1.149 


1.184 


1.225 


1.215 


00820 


01 


NORTH DAKOTA 


0.779 


0.755 


0.767 


0.753 


0.756 


0.760 


00820 


02 


SOUTH DAKOTA 


0.718 


0.708 


0.713 


0.706 


0.708 


0.712 


00825 


21 


WYOMING 


0.837 


0.846 


0.841 


0.838 


0.846 


0.851 


00860 


01 


NORTHERN NEW JERSEY 


1.339 


1.421 


1.380 


1.408 


1.422 


1.429 


00860 


02 


MIDDLE NEW JERSEY 


1.248 


1.295 


1.272 


1.284 


1.332 


1.339 


00860 


03 


SOUTHERN NEW JERSEY 


1.072 


1.121 


1.097 


1.113 


1.110 


1.116 


00865 


01 


PHILLY/PITT MED SCHS/HOSPS 


0.985 


1.050 


1.017 


1.043 


0.965 


0.970 


00865 


02 


LG. PENNSYLVANIA CITIES 


0.968 


0.962 


0.965 


0.957 


0.996 


1.002 


00865 


03 


SMALL PENNSYLVANIA CITIES 


0.857 


0.877 


0.867 


0.872 


0.860 


0.864 


00865 


04 


REST OF PENNSYLVANIA 


0.837 


0.886 


0.862 


0.880 


0.887 


0.891 


00870 


01 


RHODE ISLAND 


1.058 


1.132 


1.095 


1.134 


1.133 


1.139 


00880 


01 


SOUTH CAROLINA 


0.720 


0.708 


0.714 


0.710 


0.708 


0.712 


00900 


02 


NORTHEAST RURAL TEXAS 


0.735 


0.763 


0.749 


0.767 


0.752 


0.756 


00900 


03 


SOUTHEAST RURAL TEXAS 


0.757 


0.780 


0.769 


0.780 


0.775 


0.779 


00900 


04 


WESTERN RURAL TEXAS 


679 


625 

w. w^w 


0.652 


0.630 


0.626 


0.629 


00900 


06 


TEMPLE TX 

1 ^IVII 1 A\ 


773 


676 

w. w r w 


724 

W. / 


0.718 


0.676 


0.680 


00900 


07 


SAN ANTONIO TX 


0.858 


0.828 


0.843 


0.883 


0.829 


0.833 


00900 


08 


TEXARKANA TX 


716 


0.682 


0.699 


0.683 


0.682 


0.686 


00900 


09 


BRAZORIA TX 


893 

W . Www 


923 


0.908 


0.891 


0.924 


0.929 


00900 


10 


BROWNSVILLE TX 


0.795 


0.757 


0.776 


0.758 


0.757 


0.761 


00900 


11 


DALLAS TX 


863 

w. www 


0.998 


0.931 


0.989 


0.997 


1.002 


00900 


12 


DENTON TX 

^1 ^ 1 Vh/| N , 1 /x 


863 

w. Uww 


998 

w. www 


0.931 


0.989 


1.013 


1.018 


00900 


13 


ODESSA TX 


1.008 


0.963 


0.986 


0.964 


0.964 


0.969 


00900 


14 


EL PASO TX 


0.783 


0.81 1 


0.797 


0.769 


0.811 


0.815 


00900 


15 


GALVESTON TX 


w. Ww*T 


w. Uw^ 


0.833 


0.803 


0.833 


0.837 


00900 


16 


GRAYSON TX 

V-^l X/^ 1 1 1 1 xx 


0.776 


0.741 


0.758 


0.741 


0.741 


0.745 


00900 


17 


LONGVIEW TX 


0.882 


0.842 


0.862 


0.843 


0.843 


0.847 


00900 


18 


HOUSTON TX 


796 


857 


826 

W. \J£m\J 


0.827 


0.862 


0.867 


00900 


19 


MC ALLFN TX 


n 7Q9 




n 77*^ 


755 

W. 1 WW 


0.755 


0.759 


00900 


20 




n fiQR 


n RS4 


n R7R 




855 

w. U WW 


0.860 


00900 


21 


LUBBOCK TX 


\J. 1 OH 






71Q 

w. / 1 w 


0.719 


0.722 


00900 


22 


WAHO TX 


n 717 




n 701 




0.685 


0.688 


00900 


23 


Mini AND TX 


1 .U lO 


n Q7n 




Q70 


0.970 


0.975 


00900 


94 




u.yi c3 


U.ol 1 


u.cjy / 


U.o/ o 


n K7P. 
u.o/ o 


ftft9 


00900 


25 


ORANGE. TX 


0.896 


0.854 


0.875 


0.856 


0.855 


0.860 


00900 


26 


AMARILLO. TX 


0.779 


0.743 


0.761 


0.744 


0.744 


0.748 


00900 


27 


TYLER, TX 


0.893 


0.852 


0.872 


0.853 


0.853 


0.857 


00900 


28 


FORT WORTH, TX 


0.863 


0.932 


0.897 


0.907 


0.950 


0.955 


00900 


29 


ABILENE, TX 


0.849 


0.639 


0.744 


0.755 


0.640 


0.643 


00900 


30 


SAN ANGELO, TX 


0.855 


0.678 


0.767 


0.771 


0.679 


0.682 


00900 


31 


AUSTIN, TX 


0.988 


0.942 


0.965 


0.943 


0.943 


0.948 


00900 


32 


VICTORIA, TX 


1.090 


1.042 


1.066 


1.043 


1.043 


1.048 


00900 


33 


LAREDO, TX 


0.733 


0.699 


0.716 


0.700 


0.700 


0.703 


00900 


34 


WICHITA FALLS, TX 


0.805 


0.768 


0.787 


0.769 


0.769 


0.773 


00910 


09 


UTAH 


0.917 


0.798 


0.857 


0.804 


0.798 


0.802 



A-II-13 



APPENDIX 11-1 



4 



ALTERNATIVE OFFICE RENTAL INDICES, BY MEDICARE PAYMENT LOCALITY 
(sorted by carrier and locality number) 



FAIR MARKET RENT 



1991, County- County- 



Carrier 


Locality 








1987, 


1992, 


Specific 


Specific 


Number 


Number 


Locality Name 


1987 


1993 


1993 ^ 


1993 ^ 


1993 c 


1993 ^ 


00932 


01 


W + SE WA (EXCL SEATTLE) 


0.939 


1.002 


0.970 


0.987 


0.996 


1.001 


00932 


02 


SEATTLE (KING CNTY). WA 


1.002 


1.120 


1.061 


1.134 


1.132 


1.138 


00932 


03 


SPOKANE+RICHLND(CITIES) 


0.970 


0.888 


0.929 


0.863 


0.888 


0.893 


00932 


04 


E.CEN+NE WA (EXCL SPOKANE) 


0.932 


0.847 


0.890 


0.830 


0.848 


0.852 


00951 


04 


MILWAUKEE, Wl 


0.929 


0.896 


0.912 


0.893 


0.852 


0.857 


00951 


12 


NORTHWEST WISCONSIN 


0.746 


0.717 


0.731 


0.722 


0.717 


0.721 


00951 


13 


CENTRAL WISCONSIN 


0.726 


0.712 


0.719 


0.718 


0.712 


0.716 


00951 


14 


SOUTHWEST WISCONSIN 


0.726 


0.700 


0.713 


0.706 


0.700 


0.704 


00951 


15 


MADISON, Wl (DANE COUNTY) 


0.942 


1.000 


0.971 


0.940 


1.000 


1.006 


00951 


19 


LA CROSSE. Wl (W-CENTRAL) 


0.829 


0.810 


0.820 


0.811 


0.811 


0.815 


00951 


36 


WAUSAU, Wl (N-CENTRAL) 


0.746 


0.746 


0.746 


0.752 


0.747 


0.751 


00951 


40 


GREEN BAY, Wl (NORTHEAST) 


0.762 


0.720 


0.741 


0.725 


0.721 


0.725 


00951 


46 


MILWAUKEE SUBURBS, Wl (SE) 


0.921 


0.897 


0.909 


0.893 


0.952 


0.957 


00951 


54 


JANESVILLE, Wl (S-CENTRAL) 


0.779 


0.784 


0.782 


0.789 


0.785 


0.789 


00951 


60 


OSHKOSH, Wl (E-CENTRAL) 


0.767 


0.746 


0.757 


0.750 


0.747 


0.750 


00973 


20 


PUERTO RICO 


0.787 


0.716 


0.752 


0.740 


0.717 


0.721 


00973 


50 


VIRGIN ISLANDS 


1.000 


1.159 


1.079 


1.152 


1.159 


1.166 


01020 


01 


ALASKA 


1.304 


1.215 


1.259 


1.197 


1.216 


1.222 


01030 


01 


PHOENIX, AZ 


1.134 


0.884 


1.009 


0.981 


0.885 


0.890 


01030 


02 


TUCSON (CITY), AZ 


1.C84 


0.858 


0.971 


0.992 


0.859 


0.863 


01030 


05 


FLAGSTAFF (CITY), AZ 


o.:i4 


0.986 


0.900 


0.982 


0.987 


0.992 


01030 


07 


PRESCOTT (CITY), AZ 


0.814 


0.986 


0.900 


0.982 


0.987 


0.992 


01030 


08 


YUMA (CITY), AZ 


0.814 


0.998 


0.906 


0.997 


0.999 


1.004 


01030 


99 


REST OF ARIZONA 


0.918 


0.868 


0.893 


0.909 


0.869 


0.874 


01040 


01 


ATLANTA, GA 


1.083 


1.017 


1.0. J 


1.037 


1.01b 


1.023 


01040 


02 


SMALL GA CITIES 02 


0.769 


0.733 


0.751 


0.734 


0.733 


0.737 


01040 


03 


SMALL GA CITIES 03 


0.719 


0.726 


0.723 


0.731 


0.727 


0.731 


01040 


04 


REST OF GEORGIA 


0.653 


0.636 


0.645 


0.639 


0.637 


0.640 


01120 


01 


HAWAII 


1.268 


1.573 


1.421 


1.455 


1.57-1 


1.583 


01290 


01 


LAS VEGAS ET ALfCITIES^ NV 


1.223 


1.207 


1.215 


1.200 


1.20r 


1.214 


01290 


02 


RENO, ETAL (CITIES), NV 


1.427 


1.015 


1.221 


1.271 


1.016 


1.021 


01290 


03 


ELKO & ELY (CITIES), NV 


1.064 


1.051 


1.057 


1.043 


1.052 


1.057 


01290 


99 


REST OF NEVADA 


1.221 


1.144 


1.182 


1.174 


1.144 


1.150 


01360 


05 


NEW MEXICO 


0.867 


0.883 


0.875 


0.885 


0.883 


0.888 


01370 


00 


OKLAHOMA 


0.799 


0.684 


0.742 


0.718 


0.685 


0.688 


01380 


01 


PORTLAND.ET AL (CITIES).OR 


1.002 


0.936 


0.969 


0.956 


0.938 


0.943 


01380 


02 


EUGENE. ET AL (CITIES), OR 


1.052 


1.057 


1.054 


1.042 


1.057 


1.063 


01380 


03 


SALEM, ET AL (CITIES). OR 


0.986 


0.991 


0.989 


0.978 


0.992 


0.997 


01380 


12 


SW OR. CITIES(CITY LIMITS) 


1.020 


1.019 


1.020 


1.005 


1.020 


1.025 


01380 


99 


REST OF OREGON 


0.994 


0.979 


0.987 


0.976 


0.979 


0.984 


02050 


16 


SANTA BARBARA. CA 


1.247 


1.301 


1.274 


1.298 


1.302 


1.309 


02050 


17 


VENTURA, CA 


1.384 


1.390 


1.387 


1.386 


1.391 


1.398 


02050 


18 


LOS ANGELES. CA (1ST OF 8) 


1.449 


1.452 


1.451 


1.449 


1.453 


1.461 


02050 


19 


LOS ANGELES, CA (2ND OF 8) 


1.449 


1.452 


1.451 


1.449 


1.453 


1.461 


02050 


20 


LOS ANGELES. CA (3RD OF 8) 


1.449 


1.452 


1.451 


1.449 


1.453 


1.461 


02050 


21 


LOS ANGELES, CA (4TH OF 8) 


1.449 


1.452 


1.451 


1.449 


1.453 


1.461 



A-II-14 



APPENDIX 11-1 



5 



ALTERNATIVE OFFICE RENTAL INDICES, BY MEDICARE PAYMENT LOCALITY 
(sorted by carrier and locality number) 



FAIR MARKET RENT 















1991, 


County- 


County- 


Carrier 


Locality 








1987, 


1992, 


Specific 


Specific 


Number 


Number 


Localitv Name 


1987 


1993 


1993 ^ 


1993 ^ 


1993 ^ 


1993 ^ 


02050 


22 


LOS ANGELES, CA (5TH OF 8) 


1.449 


1.452 


1.451 


1.449 


1.453 


1.461 


02050 


23 


LOS ANGELES, CA (6TH OF 8) 


1.449 


1.452 


1.451 


1.449 


1.453 


1.461 


02050 


24 


LOS ANGELES, CA (7TH OF 8) 


1.449 


1.452 


1.451 


1.449 


1.453 


1.461 


02050 


25 


LOS ANGELES, CA (8TH OF 8) 


1.449 


1.452 


1.451 


1.449 


1.453 


1.461 


02050 


26 


ANAHEIM-SANTA ANA CA 


1.61 P- 


1.546 


1.582 


1.594 


1.547 


1.555 


02050 


28 


SAN DIEGO/IMPERIAL, CA 


1.31 , 


1.261 


1.286 


1.268 


1.262 


1.268 


05130 


11 


SOUTH IDAHO 


0,893 


0.901 


0.897 


0.889 


0.902 


0.907 


05130 


12 


NORTH IDAHO 


0.846 


0.843 


0.844 


0.832 


0.843 


0.848 


05440 


35 


TENNESSEE 


0.771 


0.740 


0.756 


0.742 


0.741 


0.745 


05535 


94 


URBAN (CITY LIMITS) NC 


0.838 


0.801 


0.820 


0.803 


0.802 


0.806 


05535 


95 


REST OF NORTH CAROLINA 


0.748 


0.732 


0.740 


0.731 


0.732 


0.736 


10230 


01 


NW AND N. CENTRAL CONN. 


1.233 


1.230 


1.231 


1.231 


1.213 


1.219 


10230 


02 


SW CONNECTICUT 


1.397 


1.454 


1.425 


1.441 


1.455 


1.462 


10230 


03 


SOUTH CENTRAL CONN. 


1.329 


1.359 


1.344 


1.353 


1.360 


1.367 


10230 


04 


EASTERN CONN. 


1.193 


1.156 


1.175 


1.159 


1.207 


1.213 


10250 


01 


REST OF MISSISSIPPI 


0.646 


0.642 


0.644 


0.643 


0.643 


0.646 


10250 


02 


URBAN MS (CITY LIMITS) 


0.785 


0.777 


0.781 


0.779 


0.778 


0.782 


10490 


01 


RICHMOND+CHARLOTTESVL VA 


0.898 


0.862 


0.880 


0.859 


0.863 


0.868 


10490 


02 


TIDEWATER+N VA COUNTIES 


1.031 


1.078 


1.055 


1.066 


1.079 


1.085 


10490 


03 


SM TOWN/INDUSTRIAL VA 


0.763 


0.821 


0.792 


0.817 


0.822 


0.826 


10490 


04 


REST OF VIRGINIA 


7*56 


720 


0.738 


0.718 


0.720 


0.724 


11260 


01 


ST LOUIS/LG F CITIFS MO 


8Q7 


0.858 


0.877 


0.871 


0.859 


0.863 


11260 


02 


SMALL E CITIES MO 


0.649 


0.768 


0.708 


0.778 


0.768 


0.772 


11260 


03 


REST OF MO 


0.668 


0.639 


0.653 


0.644 


0.639 


0.642 


14330 


04 


OlJFFMfi NY 


1 . o / o 




1 fiO? 


1.600 


1.705 


1.536 


16360 


01 


AKRON OH 


817 


0.798 


0.807 


0.792 


0.798 


0.802 






riMPIMAT! HH 


n Rn7 

u. ou / 


\J.O\JO 


R'^O 

\J.O\J\J 




0.857 


0.862 


16360 


03 




n R1 1 

\J . U 1 1 


R71 


ft41 


0.861 


0.871 


0.876 


16360 


04 


COLUMBUS OH 


0.859 


0.822 


0.840 


0.825 


0.823 


0.827 


16360 


05 


DAYTONI OH 


7ft1 


74Q 


0.765 


0.753 


0.749 


0.753 


16360 


06 


NORTHWFRT (\ \fJ\A\ DH 




0.769 


0.777 


0.774 


0.769 


0.773 


16360 


07 


MANSFIELD OH 


0.738 


0.723 


0.731 


0.728 


0.724 


0.727 


16360 


08 


SPRINGFIELD OH 


0.786 


0.753 


0.770 


0.756 


0.754 


0.758 


16360 


09 


E CENTRAL fSTEUBENVL^ OH 


0.765 


0.718 


0.741 


0.723 


0.718 


0.722 


16360 


10 




Q1R 


R7R 


ftQft 


0.881 


0.879 


0.883 


16360 


11 


YOUNGSTOWN, OH 


0.792 


0.757 


0.774 


0.760 


0.757 


0.761 


16360 


12 


W. CENTR (LAKE PLAINS), OH 


0.752 


0.733 


0.742 


0.739 


0.733 


0.737 


16360 


13 


MARION + SURR, CNTYS., OH 


0.764 


0.717 


0.740 


0.723 


0.717 


0.721 


16360 


14 


SCIOTO VALLEY, OH 


0.816 


0.774 


0.795 


0.774 


0.775 


0.779 


16360 


15 


SOUTHEAST (OHIO VALLEY) OH 


0.769 


0.714 


0.742 


0.718 


0.715 


0.718 


16510 


16 


CHARLESTON, WV 


0.926 


0.892 


0.909 


0.888 


0.892 


0.897 


16510 


17 


WHEELING, WV 


0.751 


0.787 


0.769 


0.787 


0.788 


0.792 


16510 


18 


EASTERN VALLEY, WV 


0.707 


0.750 


0.728 


0.748 


0.750 


0.754 


16510 


19 


OHIO RIVER VALLEY, WV 


0.718 


0.728 


0.723 


0.728 


0.728 


0.732 


16510 


20 


SOUTHERN VALLEY, WV 


0.701 


0.657 


0.679 


0.656 


0.658 


0.661 


21200 


01 


NORTHERN MAINE 


0.883 


0.868 


0.875 


0.872 


0.868 


0.873 



APPENDIX 11-1 



6 



ALTERNATIVE OFFICE RENTAL INDICES. BY MEDICARE PAYMENT LOCALITY 
(sorted by carrier and locality number) 



FAIR MARKET RENT 



Carrier Locality 

Number Number Locality Name 



1987 



1993 



1987, 
1993 ^ 



1991, 
1992, 
1993 ^ 



County- 
Specific 
1993 c 



County- 
Specific 
1993 <^ 



21200 
21200 



02 
03 



CENTRAL MAINE 
SOUTHERN MAINE 



0.854 
1.080 



0.865 
1.139 



0.860 
1.110 



0.869 
1.143 



0.866 
1.140 



0.870 
1.146 



^Average of 1987 and 1993 FMRs. 
bAverage of 1991. 1992, and 1993 FMRs. 

^County-specific rents within CMSAs, NYC PMSA FMR replaced by Bergen-Passaic FMR, Westchester county FMR used. 
dCounty-specific rents within CMSAs, NYC PMSA FMR replaced by CMSA average FMR, Westchester county FMR used. 
CMSA average excludes NYC PMSA, but includes Westchester county, NY and Fairfield county, CT. 

NOTE: All indices except for the two county-specific options replace the NYC PMSA FMR, including Westchester county, with the 
Bergen-Passaic FMR. 



A-II-16 



APPENDIX 11-2 



DIFFERENCE BETWEEN 1996 OFFICE RENTAL INDEX WEIGHTED BY RELATIVE VALUE UNITS (RVUs) 
AND POPULATION, BY MEDICARE PAYMENT LOCALITY, RANKED IN DESCENDING ORDER OF DIFFERENCE 



RVU- Pop- 
Weighted Weighted 

Carrier Locality Rent Rent Percent 

Number Number Locality Name Index Index Difference Difference 



00820 


02 


SOUTH DAKOTA 


0.740 


0.680 


0.060 


8.1% 


00803 


02 


NYC SUBURBS/LONG 1., NY 


1.537 


1.478 


0.059 


3.8 


05130 


11 


SOUTH IDAHO 


0.769 


0.716 


0.053 


6.9 


00820 


01 


NORTH DAKOTA 


0.695 


0.643 


0.052 


7.5 


00590 


01 


REST OF FLORIDA 


0.846 


0.795 


0.052 


6.1 


00640 


06 


NORTHWEST IOWA 


0.696 


0.652 


0.044 


6.3 


01031 


99 


REST OF AZ 


0.896 


0.855 


0.041 


4.6 


00655 


00 


NEBRASKA 


0.760 


0.725 


0.035 


4.6 


00621 


06 


KANKAKEE, IL 


0.775 


0.743 


0.032 


4.1 


00640 


01 


SOUTHEAST IOWA 


0.771 


0.740 


0.031 


4.0 


00621 


11 


DECATUR, IL 


0.694 


0.668 


0.026 


3.7 


00650 


01 


REST OF KANSAS 


0.732 


0.706 


0.026 


3.6 


05440 


35 


TENNESSEE 


0.757 


0.731 


0.026 


3.4 


16510 


19 


OHIO RIVER VALLEY, WV 


0.621 


0.596 


0.025 


4.0 


01370 


00 


OKLAHOMA 


0.716 


0.692 


0.024 


3.4 


00520 


13 


ARKANSAS 


0.688 


0.664 


0.024 


3.5 


01360 


05 


NEW MEXICO 


0.811 


0.787 


0.024 


3.0 


01390 


03 


E CNTRL & NE WA 


0.834 


0.810 


0.024 


2.9 


00640 


02 


NORTHEAST IOWA 


0.732 


0.708 


0.023 


3.1 


00621 


14 


SOUTHERN IL 


0.614 


0.592 


0.022 


3.6 


00710 


01 


DETROIT, Ml 


1.032 


1.010 


0.022 


2.1 


00751 


01 


MONTANA 


0.713 


0.692 


0.021 


2.9 


00781 


50 


VERMONT 


0.996 


0.975 


0.021 


2.1 


00951 


40 


GREEN BAY (NORTHEAST), Wl 


0.742 


0.722 


0.020 


2.7 


01380 


12 


SW OR CITIES (CITY LIMITS) 


0.960 


0.941 


0.020 


2.1 


05130 


12 


NORTH IDAHO 


0.733 


0.713 


0.020 


2.7 


00640 


03 


NORTH CENTRAL IOWA 


0.678 


0.659 


0.019 


2.8 


00825 


21 


WYOMING 


0.714 


0.696 


0.018 


2.5 


00973 


20 


PUERTO RICO 


0.751 


0.735 


0.016 


2.1 


16510 


18 


EASTERN VALLEY, WV 


0.726 


0.712 


0.014 


1.9 


00542 


03 


MARIN/NAPA/SOLANO, CA 


1.423 


1.409 


0.014 


1.0 


00621 


07 


QUINCY, IL 


0.624 


0.610 


0.014 


2.2 


00880 


01 


SOUTH CAROLINA 


0.774 


0.761 


0.013 


1.7 


00640 


04 


S CNTRL lA (EXCL. DES MOINES) 


0.706 


0.695 


0.012 


1.7 


05535 


00 


NORTH CAROLINA 


0.791 


0.780 


0.011 


1.4 


00542 


12 


MONTEREY/SANTA CRUZ, CA 


1.450 


1.440 


0.010 


0.7 


00542 


02 


NE RURAL, CA 


0.845 


0.835 


0.010 


1.2 


00621 


08 


NORMAL, IL 


0.769 


0.759 


0.010 


1.3 


00621 


13 


SOUTHEAST IL 


0.584 


0.574 


0.010 


1.7 


16510 


20 


SOUTHERN VALLEY, WV 


0.561 


0.551 


0.010 


1.8 


00621 


09 


SPRINGFIELD, IL 


0.802 


0.794 


0.009 


1.1 


00640 


07 


SOUTHWEST IOWA 


0.718 


0.709 


0.009 


1.3 



A-II-17 



APPENDIX 11-2 

DIFFERENCE BETWEEN 1996 OFFICE RENTAL INDEX WEIGHTED BY RELATIVE VALUE UNITS (RVUs) 
AND POPULATION, BY MEDICARE PAYMENT LOCALITY, RANKED IN DESCENDING ORDER OF DIFFERENCE 









RVU- 


Pop- 












Weighted 


Weighted 






Carrier 


Locality 




Rent 


Rent 




Percer 


Number 


Number 


Locality Name 


Index 


Index 


Difference 


DIfferen 


00951 


14 


SOUTHWEST Wl 


0.646 


0.638 


0.009 


1.4 


00510 


02 


NORTH CENTRAL AL 


0.6^9 


0.641 


0.008 


1.2 


00621 


12 


EAST ST. LOUIS, IL 


0.784 


0.777 


0.007 


0.9 


21200 


03 


SOUTHERN MAINE 


1.134 


1.130 


0.004 


0.4 


16360 


00 


OHIO 


0.812 


0.809 


0.003 


0.4 


00542 


01 


N. COASTAL CNTYS, CA 


1.231 


1.227 


0.003 


0.2 


00910 


09 


UTAH 


0.753 


0.749 


0.003 


0.4 


21200 


01 


NORTHERN MAINE 


0.814 


0.811 


0.003 


0.4 


16510 


17 


WHEELING, WV 


0.674 


0.670 


0.003 


0.4 


16510 


16 


CHARLESTON, WV 


0.680 


0.679 


0.002 


0.3 


00900 


04 


WESTERN TX 


0.611 


0.609 


0.002 


0.3 


00803 


03 


POUGHKPSIE/N NYC SUBURBS, NY 


1.298 


1.297 


0.001 


0.1 


00621 


10 


CHAMPAIGN-URBANA, IL 


0.809 


0.808 


0.001 


0.1 


00951 


12 


NORTHWEST Wl 


0.633 


0.633 


0.001 


0.2 


00621 


15 


SUBURBAN CHICAGO, IL 


1.313 


1.313 


0.000 


0.0 


00529 


50 


REST OF LA 


0.629 


0.629 


0.000 


0.0 


00542 


10 


MERCED/SURR.CNTYS, CA 


0.944 


0.945 


-0.001 


-0.1 


11260 


03 


REST OF MO 


0.606 


0.606 


-0.001 


-0.2 


00510 


03 


SOUTHEAST AL 


0.707 


0.709 


-0.002 


-0.3 


00621 


05 


PEORIA, IL 


0.776 


0.777 


-0.002 


-0.3 


11260 


02 


SM E. CITIES, MO 


0.623 


0.625 


-0.002 


-0.3 


01120 


01 


HAWAII/GUAM 


1.785 


1.788 


-0.003 


-0.2 


00865 


04 


REST OF PA 


0.748 


0.751 


-0.003 


-0.4 


00710 


02 


MICHIGAN, NOT DETROIT 


0.813 


0.816 


-0.003 


-0.4 


10250 


01 


REST OF MISSISSIPPI 


0.612 


0.616 


-0.003 


-0.5 


00528 


06 


LAFAYETTE, 


0.633 


0.638 


-0.004 


-0.6 


00951 


13 


CENTRAL Wl 


0.643 


0.647 


-0.004 


-0.6 


00801 


02 


ROCHESTER/SURR. CNTYS, NY 


0.995 


1.001 


-0.006 


-0.6 


00630 


03 


REST OF IN 


0.699 


0.705 


-0.007 


-1.0 


00952 


60 


OSHKOSH (E CNTRL), Wl 


0.732 


0.739 


-0.007 


-1.0 


00590 


02 


N/NC FL CITIES 


0.941 


0.948 


-0.007 


-0.7 


00570 


01 


DELAWARE 


1.028 


1.036 


-0.009 


-0.9 


00801 


01 


BUFFALO/SURR. CNTYS, NY 


0.834 


0.843 


-0.009 


-1.1 


00900 


29 


ABILENE, TX 


0.670 


0.679 


-0.009 


-1.3 


00621 


04 


ROCK ISLAND, IL 


0.679 


0.689 


-0.009 


-1.3 


01040 


02 


SMALL GA CITIES 02 


0.787 


0.796 


-0.009 


-1.1 


00740 


01 


ST JOSEPH, MO 


0.633 


0.642 


-0.009 


-1.4 


00700 


01 


URBAN MASS 


1.325 


1.335 


-0.010 


-0.8 


00900 


30 


SAN ANGELO, TX 


0.680 


0.690 


-0.010 


-1.5 


00900 


34 


WICHITA FALLS. TX 


0.716 


0.727 


-0.010 


-1.4 


00900 


16 


GRAYSON, TX 


0.730 


0.741 


-0.010 


-1.4 


00900 


17 


LONG VIEW, TX 


0.699 


0.709 


-0.010 


-1.4 



A-II-18 



APPENDIX 11-2 



DIFFERENCE BETWEEN 1996 OFFICE RENTAL INDEX WEIGHTED BY RELATIVE VALUE UNITS (RVUs) 
AND POPULATION, BY MEDICARE PAYMENT LOCALITY, RANKED IN DESCENDING ORDER OF DIFFERENCE 









RVU- 


Pop- 












Weighted 


Weighted 






Carrier 


Locality 




Rent 


Rent 




Percer 


Number 


Number 


Locality Name 


Index 


Index 


Difference 


Differen 


00900 


19 


MC ALLEN. TX 


0.708 


0.718 


-0.010 


-1.4 


00900 


27 


TYLER, TX 


0.748 


0.758 


-0.010 


-1.3 


10490 


01 


RICHMOND & CHARLOTTESVILLE, 


0.928 


0.938 


-0.010 


-1.1 


00528 


05 


MONROE, LA 


0.716 


0.727 


-0.010 


-1.4 


00900 


08 


TEXARKANA, TX 


0.727 


0.737 


-0.010 


-1.4 


00510 


04 


MOBILE, AL 


0.694 


0.704 


-0.010 


-1.4 


00528 


02 


SHREVEPORT, LA 


0.725 


0.735 


-0.010 


-1.4 


00528 


04 


LAKE CHARLES, LA 


0.727 


0.737 


-0.010 


-1.4 


00528 


07 


ALEXANDRIA, LA 


0.697 


0.707 


-0.010 


-1.4 


00900 


06 


TEMPLE, TX 


0.742 


0.753 


-0.010 


-1.3 


00900 


26 


AMARILLO, TX 


0.697 


0.707 


-0.010 


-1.4 


00900 


32 


VICTORIA, TX 


0.708 


0.718 


-0.010 


-1.4 


00528 


03 


BATON ROUGE, LA 


0.732 


0.742 


-0.010 


-1.4 


00900 


13 


ODESSA, TX 


0.736 


0.746 


-0.010 


-1.4 


00900 


23 


MIDLAND, TX 


0.736 


0.746 


-0.010 


-1.4 


00900 


25 


ORANGE, TX 


0.737 


0.748 


-0.010 


-1.4 


00900 


20 


BEAUMONT, TX 


0.737 


0.748 


-0.010 


-1.4 


00510 


06 


REST OF AL 


0.587 


0.596 


-0.010 


-1.7 


00860 


03 


SOUTHERN NJ 


1.209 


1.220 


-0.011 


-0.9 


00900 


10 


BROWNSVILLE, TX 


0.751 


0.762 


-0.011 


-1.5 


00900 


14 


EL PASO, TX 


0.819 


0.830 


-0.011 


-1.3 


00900 


21 


LUBBOCK, TX 


0.786 


0.797 


-0.011 


-1.4 


00900 


22 


WACO, TX 


0.779 


0.790 


-0.01 1 


-1.4 


00900 


24 


CORPUS CHRISTI, TX 


0.803 


0.814 


-0.011 


-1.4 


00900 


33 


LAREDO, TX 


0.770 


0.781 


-0.011 


-1.4 


00528 


01 


NEW ORLEANS, LA 


0.812 


0.823 


-0.011 


-1.4 


01040 


01 


ATLANTA, GA 


1.017 


1.029 


-0.011 


-1.1 


00510 


05 


BIRMINGHAM, AL 


0.761 


0.772 


-0.011 


-1.4 


00951 


36 


WAUSAU (N CNTRL), Wl 


0.707 


0.718 


-0.011 


-1.6 


00542 


08 


STOCKTON/SURR. CNTYS , CA 


1.021 


1.033 


-0.012 


-1.2 


00542 


13 


KINGS/TULARE, CA 


0.828 


0.840 


-0.012 


-1.4 


00542 


11 


FRESNO/MADERA, CA 


0.877 


0.890 


-0.012 


-1.4 


00900 


07 


SAN ANTONIO, TX 


0.872 


0.884 


-0.012 


-1.4 


01030 


07 


PRESCOTT, AZ 


0.869 


0.881 


-0.012 


-1.4 


00740 


02 


N K.C. (CLAY/PLATTE), MO 


0.827 


0.839 


-0.012 


-1.5 


01030 


01 


PHOENIX, AZ 


0.888 


0.900 


-0.012 


-1.4 


00740 


03 


K.C. (JACKSON CNTY), MO 


0.827 


0.839 


-0.012 


-1.5 


00740 


04 


SUBURBAN KANSAS CITY, KANSAS 


0.827 


0.839 


-0.012 


-1.5 


00740 


05 


KANSAS CITY, KANSAS 


0.827 


0.839 


-0.012 


-1.5 


00640 


05 


DES MOINES (POLKAA/ARREN), lA 


0.912 


0.925 


-0.013 


-1.4 


02050 


28 


SAN DIEGO/IMPERIAL, CA 


1.192 


1.205 


-0.013 


-1.1 


01290 


02 


RENO, ET AL. (CITIES), NV 


1.062 


1.075 


-0.013 


-1.2 



A-II-19 



1 



APPENDIX 11-2 



DIFFERENCE BETWEEN 1996 OFFICE RENTAL INDEX WEIGHTED BY RELATIVE VALUE UNITS (RVUs) 
AND POPULATION, BY MEDICARE PAYMENT LOCALITY, RANKED IN DESCENDING ORDER OF DIFFERENCE 









RVU- 


POD- 












Weinhted 

■ ■ W 1 U 1 1 L W U 


Weiahted 






Carrier 


Locaiitv 




Rent 

1 xw 1 11 


Rent 




Percen 


Number 


Number 


Locfilitv N^mp 


InHpy 


II IviCA 


niffprpnre 

wl 1 1 ^1 w 1 1 


DifFeren< 

V ■ 1 X^ 1 X« 1 ■ 


00660 

www 


01 


LEXINGTON & LOUISVILLE KY 


751 

w. t sj \ 


764 

W. / W*T 


-0 013 

w.w 1 w 


-1.7 


00900 

\J \J w w \J 


28 


FORT WORTH TX 




w.wwv^ 


-0 013 

w.w 1 w 


-1.4 


00801 


03 

WW 


N CFNTRAI CITIFS NY 


U. w 1 O 


Q'^0 

U.\70U 


-0 013 

U.w 1 w 


-1.4 


01030 


08 


YUMA AZ 


U . w 1 U 


Q9fi 


V/.w 1 w 


-1.4 


00951 


04 

W"T 


MILWAIJKFF Wl 

ivi 1 u. V vrA wr\u.u- , vvi 




Q1Q 


-0 013 

W.W 1 \J 


-1.4 


01290 


03 

WW 


Fl KO A Fl Y ^nTIF<^^ NV 


U. %70w 


QQR 


L/. w 1 w 


-1.3 


00542 


14 


BAKERSFIELD CA 




Q25 


-0.013 


-1.4 


00900 


OQ 

Uw 


RRAJORIA TV 




U. w / w 


-0 01 3 

W.w 1 w 


-1.4 


01030 

w 1 Www 


02 

W^ 


TUnSON A7 

1 L^wwwINi 




w. w 1 \J 


-0 013 

w.w 1 w 


-1.4 


00900 

WW Www 


18 






n Q77 


-0 013 

w.w 1 w 


-1.3 


00900 

w w w w^/ 


15 


GALVESTON TX 


RQ6 

w . U wW 


909 

w . w w w 


-0.013 


-1.5 


10490 


03 


SM TOWN/INDUSTRIAL VA 


788 


0.802 


-0.014 


-1.8 


01380 


01 


PORTLAND FT AL CCITIFS'^ OR 


Q7? 

\J. 


936 

W . W WW 


-0.014 


-1.5 


00900 

w w w w \y 


12 


DENTON TX 


1 006 

1 .WWW 


1 020 

1 . w^ w 


-0.014 


-1.4 


00951 


15 

1 w 


MADISON ^'DANF CNTYi Wl 


1 025 


1 039 

1 .Www 


-0.014 


-1.4 


00900 


11 


DALLAS TX 


0.990 


1.004 


-0.014 


-1.4 


00865 


03 


SM PA CITIES 


801 


0.814 


-0.014 


-1.7 


01030 


05 

WW 


FLAGSTAFF A7 


QRR 


979 

W. W 1 w 


-0.014 


-1.4 


00974 

www f •f 


50 


VirWSlIN IOI_MINLJO 


1 ORQ 

1 .U09 


1 104 


-0 015 

W. W 1 w 


-1.4 


W 1 £.WU 


01 


1 A<; \/Fr;A<5 FT Al ^PITIFc;^ M\/ 


1 070 
1 .U / u 


1 ORA 


-0 015 

w.w 1 "J 


-1.4 


wwv/ww 


09 


UrsDAlN MM 


n 7R9 


7Qfi 
u. / ao 


-0 01 *^ 

U .U 1 


-1 9 

1 . w 


ononn 

WW www 


O 1 


Al l^iTIM TY 
r\UO 1 UN, 1 A 


1 0R1 
1 .UO 1 


1 07R 

1 .U r O 


-0 01 S 


-1.4 




09 
KJ4C 


Minni F M 1 

IvIIUULC IN J 


1 .*^o / 




-0 01 


-1 

1 . w 


00790 


00 


IvIIININtloW 1 A 1 K/\vCLCKo^ 


U.ooO 


O 00*% 


-0 01 R 

-U.U 1 vj 


-1 8 

1 . w 


10940 


00 


RyilMMPQP>TA <o.\ 1 ie: cuiipi n\ 


n AAA 
U.OOO 


O Q0'^ 


-0 01R 

-U.U 1 


-1 8 


01 '^QO 


09 
U^ 


Qt^ATTI C IKXWr^ r*MT\A \A/A 
OCA 1 1 Lt ^MlNo UfM 1 Y ), vVA 


1 . 1 4y 


1 . 1 OO 


.0 01R 

-U.U 1 o 


-1 4 

1 .•t 


090*i0 


1 


QAMTA RADRADA r*A 
oAlN 1 A dAKdAKA, UA 


-1 'mn 

1 .^5^U 


1 .OOO 


.0 01 R 

-U.U 1 o 


-1 2 

1 




97 


[?l\/l=DCinP f^A 
KIVCKOlUC, L/A 


1 .1 oo 


1 . 1 


.0 01 R 
-U.U 1 u 


-1 4 

1 .*T 




OA 


PACTPDM r'T 
tAo 1 tKIN \j \ 


1 lO 


-1 oio 
1 .z«3Z 


.0 01R 

-U.U 1 o 


-1 3 

1 . w 


00621 


1fi 


PHIPAr^O II 


1 17*i 
1 . 1 r 9 


1 1Q9 


-0 016 

w . w 1 w 


-1.4 


10250 


02 

w^ 


URRAN MI<^9I<^<^IPPI 


7*^0 
u. / o\j 


746 

W. f "Tw 


-0.016 


-2.2 


00630 


01 


METROPOLITAN IN 


840 


0.857 


-0.017 


-2.0 


00542 


15 


SAN BERNADINO/E CTRL CNTYS C 


1 059 


1.076 


-0.017 


-1.6 


00542 


04 


SACRAMENTO/SURR. CNTYS, CA 


1.076 


1.094 


-0.018 


-1.7 


00510 


01 


NORTHWEST AL 


0.730 


0.748 


-0.018 


-2.5 


00542 


07 


OAKLAND/BERKLEY, CA 


1.411 


1.430 


-0.019 


-1.3 


00590 


04 


MIAMI, FL 


1.276 


1.295 


-0.019 


-1.5 


00801 


04 


REST OF NEW YORK 


0.864 


0.884 


-0.020 


-2.3 


10490 


04 


REST OF VA 


0.693 


0.713 


-0.021 


-3.0 


21200 


02 


CENTRAL MAINE 


0.845 


0.866 


-0.021 


-2.5 


10230 


01 


NW AND N. CNTRL CT 


1.251 


1.272 


-0.021 


-1.7 


02050 


18 


LOS ANGELES (1ST OF 8) 


1.495 


1.516 


-0.021 


-1.4 



A-II-20 



APPENDIX 11-2 

DIFFERENCE BETWEEN 1996 OFFICE RENTAL INDEX WEIGHTED SV REJ^TIVE VALUE UNITS (RVUs) 
AND POPULATION, BY MEDICARE PAYMENT LOCALITY, RANKED IN DESCENDING ORDER OF DIFFERENCE 









p\/i 1 


rop- 












VAf A j n frit 


fr\tA#4 

weiyniea 








LOCalliy 




Keni 


ftenl 




D A IT Ant 

rerceni 


IvUIIIUCI 


i>iijiiiijcr 


LQCdillV rMalTie 


Index 


Indsx 


uiTTcrcncc 


r\ iff o r A r*fc /* < 
UlTTcrcllUI 




1 Q 

1 9 




1 .4yo 


1 (;ift 

1 .o to 


n n9i 


.1 A 
- 1 .t 






1 AMf^Pi P<? /'^pn OP R^ 


1 .'tyo 


1 <^1ft 
1 .0 1 O 


n 091 


-1 A 

- 1 .H 




91 




1 .4yo 


1 (n1 ft 

1 .OlD 


n noi 

-U.UZ 1 


1 A 




99 


1 o<5 AMf^pi PQ ^t\T\^^ OP fk\ 


1 .nyo 


1 l\1ft 


091 


-1 A 






1 O^ AN(^Pi P^ ^ftTH OP ft^ 


1 AQ^ 


1 mft 


091 
-U.UZ 1 


-1 A 






1 0<5 AMl^PI P<? r7T\A OP R\ 


1 .nyo 


1 <^1ft 


091 


- 1 .t 




9^ 


1 0<? AM^^PI PQ fRT\-i OP fi^ 


1 AO*; 
1 .'^y^ 


•1 4^1 ft 
r .0 1 D 


091 


-1 /I 

- 1 .H 




9ft 


A^JAI-IPI^/I/<?AMTA AMA r-A 


1 t^Oft 

1 . ozo 




091 


-1 4 






Ol IPPMQ MV 




f . OU»t 


.0 091 


-1 4 




1 7 


\/PMTI IPA PA 


1 .r5 / J 


1 .090 


.0 099 


-1 4 




04 


IAMPQ\/II 1 P ^^MTDI \ \A/I 

JAINcovlLLt: LfiN 1 KL;, vvl 


n Rnn 

U.oUU 


n ftO'^ 

U.oZo 


09*^ 


-9 Q 


UU90 1 


40 


h/lll \A/AI CI (DDI IDDC /CC\ \A/I 

MILvvAUrxtt oUKdUKdo (ot;, Wl 


n Qd 
u.yoo 


n Qfift 
u.yoD 


09"? 


-9 4 




no 

uy 


CAMTA r^i ADA A 

oAN 1 A ULAKA, UA 


1 .OOl 


1 ft7A 
1 .0 /4 


09*1 
-U.UZO 


-1 4 

- 1 .H 


nriTsn 


4U 


NtW nAIVlronlKt 


^ inn 
1 .1 U 1 


1 I 0/1 
1 .1 Z4 


09*^ 
-U.UZo 


-9 1 


uuoou 


ni 
Ul 


InUK I MtKN NJ 


•1 cn7 


1 CII 
1 .031 


09A 
-U.U/t4 


-1 ft 
- 1 .o 


r\f\K.A o 


Ub 


oAN MAT to, CA 


•1 70 A 


A 7CC 

1 . / oo 


n no>i 
-U.UZ4 


1 A 
- 1 .f 


nocyi o 




SAN rhlANCISCO, CA 


1 . /4o 


H 770 


n noyi 
-U.UZ4 


1 A 


nn7nn 
UU/uU 


no 


MAoo SUdURdS/RURAL CIl Ito 


H H QC 

1 .lob 


A ono 

1 .^uy 


n no>i 
-U.UZ4 


9 


01040 


03 


SMALL GA CITIES 03 


0.737 


A 7e H 

0.761 


A AO>l 

-0.024 


o o 
-3.3 


01291 


99 


REST OF NEVADA 


1 .038 


1 .062 


A AOil 

-U.U24 


o o 
-2.3 


UOO^O 


AO 

03 


PORT LAUDERDALE, FL 


1 .151 


■1 A 7C 
1.1/0 


n no/i 
-U.Uii4 


O 1 


UUO^ 1 


Ul 


MODTUIXA/COT II 

InUK I nvvto 1 , IL 


n Rfto 
u.ooy 


n ftOA 


09^ 




UUo/ U 


U 1 


RnODc ISLAND 


1 .loo 


- H KQ 

t .1 oy 


n noft 
-u.uzo 


9 


UUoUo 


Ul 


li Jl A Ml_l A TT A Kl KIN/ 

MANHATTAN, NY 


■i OOQ 

1 .o^y 


1 .000 


n noft 


1 A 


UU/4U 


AC 

Oo 


RUr?AL NW COUNTIES, MO 


A C >l O 

0.643 


n ACQ 

u.Doy 


n noft 
-U.UZD 


A 


-1 1 oftn 


AH 
01 


ST. LOUIS/LG E. CITIES, MO 


A 700 

0.783 


n QAQ 

u.ouy 


n noft 


-O.O 


1 u^ou 


no 
UZ 


oW U 1 


A dRA 

1 .DD4 


1 ftOO 

1 .oyz 


O 09R 


-1 7 
- 1 . / 


Ul U4U 


U4 


RbS 1 Or GA 


A £50i4 


n ceo 
U.DOo 


n noQ 
-u.Uicy 


A ft 


U 1 oou 


n'5 
Uo 


CAI Chit CT AI /^IXICON (^D 

oALtM, 1 1 AL. (CI 1 Ibo), OK 


n QOy< 

U.o34 


n afti 
U.003 


n 090 
-u.uzy 




UUoOt) 


no 
Uz 


1 DA OITICO 

Lvj PA CITIES 


A AA7 
0.99/ 


A noc 
1 .U20 


n noQ 
-u.u^y 


9 


\J 1 U^lJ 


VJ 1 


Ai A^K^A 

AI_AOr\A 


1 . 1 yu 


1 91Q 

1 .Z 1 9 


-0 090 


-2 4 


00550 


01 


COLORADO 


0.871 


0.902 


-0.030 


-3.4 


01390 


01 


W & SE WA (EXCL SEATTLE) 


0.920 


0.950 


-0.030 


-3.3 


00865 


01 


PHILLY/PITT MED SHCLS/HOSPS, P 


0.989 


1.021 


-0.032 


-3.2 


10230 


03 


S. CNTRL CT 


1.459 


1.493 


-0.034 


-2.3 


00900 


03 


SOUTHEAST RURAL TX 


0.762 


0.797 


-0.035 


-4.6 


00621 


03 


DE KALB, IL 


0.754 


0.793 


-0.039 


-5.2 


00951 


19 


LA CROSSE (W CNTRL), Wl 


0.725 


0.768 


-0.043 


-5.9 


00660 


03 


REST OF KENTUCKY 


0.581 


0.625 


-0.044 


-7.6 


01380 


02 


EUGENE, ET AL. (CITIES), OR 


0.868 


0.914 


-0.046 


-5.3 


00900 


02 


NORTHEAST RURAL TX 


0.716 


0.762 


-0.046 


-6.4 


00660 


02 


SM CITIES (CITY LIMITS) KY 


0.670 


0.719 


-0.048 


-7.2 



A-II-21 



APPENDIX 11-2 

DIFFERENCE BETWEEN 1996 OFFICE RENTAL INDEX WEIGHTED BY RELATIVE VALUE UNITS (RVUs) 
AND POPULATION, BY MEDICARE PAYMENT LOCALITY, RANKED iN DESCENDING ORDER OF DIFFERENCE 



Carrier Locality 
Number Number 



Locality Name 



RVU- 
Weighted 
Rent 
Index 



Pop- 
Weighted 
Rent 
Index 



Difference 



Percent 
Difference 



01381 


99 


REST OF OREGON 


0.800 


0.848 


-0.048 


-6.0 


00580 


01 


DC +MDA/A SUBURBS 


1.458 


1.509 


-0.050 


-3.4 


00690 


01 


BALTIMORE/SURR. CNTYS, MD 


1.003 


1.060 


-0.057 


-5.7 


00690 


03 


SOUTH & E. SHORE MD 


0.990 


1.060 


-0.071 


-7.2 


10490 


02 


TIDEWATER & N VA CNTYS 


0.984 


1.067 


-0.083 


-8.4 


00690 


02 


WESTERN MD 


0.842 


0.926 


-0.084 


-10.0 


00621 


02 


ROCKFORD, IL 


0.887 


0.991 


-0.104 


-11.7 



A-II-22 



APPENDIX 11-3 



FINAL OFFICE RENTAL INDICES BY MEDICARE PAYMENT LOCALITY 
(sorted diphabetically by state and locality name within state) 



Reseated 

Carrier Locality 1996 Office 1996 0frice 1992 0frice 

Number Number Locality Name Rent Index Rent Index Rent Index 



UUo 1 u 


05 


RIRMINr^HAM A! 


n 7R1 


n 7R9 
U. 1 oz 


n 761 




04 


MORN F A! 


n fiQ4 


RQ5 


827 


\J\JO 1 U 




NORTH PFNITRAI Al 


n R4Q 


n R5n 


n 666 


nn*;in 


01 


NORTH\A/F55T Al 


730 

W.I sJXJ 


731 

w. / O 1 


n 6Q7 


oo*iin 


Ofi 

\J\J 


REST OF AL 


587 


588 


629 


\J\J\J 1 w 


O'i 


SOUTHEAST AL 


707 


708 


679 


01020 


01 


ALASKA 


1.190 


1.191 


1.304 


01030 


05 


FLAGSTAFF AZ 


0.966 


0.967 


0.814 


01030 


01 


PHOENIX AZ 

III Lai. 1 ^ 1 / \ 1 / ' ^ 


0.888 


0.889 


1.134 


01030 


07 


PRESCOTT AZ 


0.869 


0.870 


0.814 


01030 


99 


REST OF AZ 


0.896 


0.897 


0.918 


01030 


02 


TUCSON AZ 


0.903 


0.905 


1.084 


01030 


08 


YUMA AZ 


0.916 


0.917 


0.814 


00520 


13 


ARKANSAS 


688 


0.689 


0.683 


020*50 


26 


ANAHFIM/SANTA ANA OA 


1 526 


1 528 


1.618 


00542 


14 


RAKFRSFIFI D CA 


912 


913 


1 .106 


00542 


1 1 


FRF^^NO/MADFRA PA 


877 


879 


1 010 


00542 


1*^ 


KINnc5/Tl II ARF PA 


n 828 


829 


1 055 


02050 


1 o 


1 AN(^FI F^l MQT OF R\ 


1 4Q5 


1 4Q7 

1 .H5/ # 




02050 


1Q 


1 0<? AM<^FI FCI fOhin OF R\ 


1 4Q5 


1 4Q7 


1 449 

1 .HHO 


\J£.\J>J\J 




1 AM(^FI FQ /'^Pn OF R^ 


1 4Q*^ 


•1 4Q7 

1 .Ho / 


1 44Q 

1 .HHO 




OA 


1 0<; AMOFI F<5 MTH OF ft\ 


1 4Q*\ 


1 4Q7 


1 44Q 

1 .HHO 


uzuou 


zz 


LUo AINocLtio (p 1 n vJr 


1 .'tyo 


1 .Ho f 


1 44Q 
1 .HHo 




zo 


L(Jo AINoClLco 1 n \Jr 0) 


1 .*tyD 


1 4Q7 
1 .Ho / 


1 44Q 
1 .HHo 


uzuou 


Z4 


! <~»C AMf^CI CC /7TU P\ 


i AQ(n 
1 .»f!70 


1 AQ7 
1 .Ho / 


1 44Q 

1 .HHo 




zo 


AiNoCLCo 1 n \jr o) 


1 .HaO 


■1 4Q7 

. .Ho / 


1 44Q 

1 ,HHO 


00542 


uo 


MARIM/MAPA/COl AMO PA 


1 493 


1 425 


1 485 


00542 


10 

1 w 


iv/IFRPFn/SURR PNTYS PA 


944 


945 


1.038 


00542 


12 


MONTFRFY/SANTA PRU7 CA 


1 450 


1 452 


1.327 


00542 


01 


N POASTAI PNTY<^ PA 


1 231 


1 232 


1.209 


00542 


02 


MP Rl IRAI PA 


845 


846 


974 




n7 


OAl^'l ANin/RPDI/^l PV ^A 


1 A1 1 
1 1 1 


1 413 
1 .H 1 O 


1 5Rn 


00542 


27 


RIVERSIDE, CA 


1.133 


1.134 


1.177 


00542 


04 


SACRAMENTO/SURR. CNTYS, CA 


1.076 


1.077 


1.163 


00542 


15 


SAN BERNADINO/E.CTRL CNTYS CA 


1.059 


1.060 


1.172 


02050 


28 


SAN DIEGO/IMPERIAL, CA 


1.192 


1.194 


1.311 


00542 


05 


SAN FRANCISCO, CA 


1.748 


1.750 


1.730 


00542 


06 


SAN MATEO, CA 


1.730 


1.733 


1.730 


02050 


16 


SANTA BARBARA, CA 


1.350 


1.352 


1.247 


00542 


09 


SANTA CLARA. CA 


1.651 


1.653 


1.719 


00542 


08 


STOCKTON/SURR. CNTYS , CA 


1.021 


1.023 


0.996 


02050 


17 


VENTURA. CA 


1.573 


1.575 


1.384 


00550 


01 


COLORADO 


0.871 


0.872 


0.981 


10230 


04 


EASTERN CT 


1.216 


1.218 


1.193 


10230 


01 


NW AND N. CNTRL CT 


1.251 


1.253 


1.233 



A-II-23 



APPENDIX 11-3 



FINAL OFFICE RENTAL INDICES BY MEDICARE PAYMENT LOCALITY 
(sorted alphabetically by state and locality name within state) 



Rescaled 

Carrier Locality 1996 Office 1996 Office 1992 Office 

Number Number Locality Name Rent Index Rent Index Rent Index 





ni 


o. UIN 1 KL U 1 


■1 A CO 


■1 ARn 
1 .4DU 


A 100 

1 .o2y 


1 U^oU 


no 


c:\A/ r^T 
ovv L/ 1 


\ .DD4 


1 AAA 
1 .ODD 


^ 1Q7 
1 .oy / 


UU3/ u 


U 1 




1 .UZo 


1 .U2y 


1 .U3 1 


uuoou 


ni 

U 1 




1 .400 


■1 Adn 
1 .40U 


1 .0/4 


nn«;on 

UUOsU 


Uo 


rvJK 1 LAUUtKUALt, rL 


i ■i C-l 
1 .1 01 


1 .1 00 


1 .U«50 


nncon 


nA 
U4 


MIAIVll, rL 


1 .2/0 


■1 07Q 

1 .2/8 


•1 A7'l 

1 .0/1 


nncon 


no 


N/inU rL CI 1 Ibo 


A Ail H 

0.941 


A A >l 

0.942 


A AH 

0.913 




A-l 
Ul 


Kto 1 Or rLOKlUA 


A Q AC 

0.846 


0.84/ 


A ■70'7 

0.73/ 


U1 U4U 


A-l 
Ul 


ATI AMTA ^A 

A 1 LAN lA, GA 


-f A-l "7 

1 .017 


H AHA 

1 .019 


H AOO 

1 .083 


U iU4U 


nA 
U4 


Kbo 1 Or GA 


0.624 


A eoc 
0.625 


A ceo 

0.65o 


f\-\ nAn 
Ul U4U 


AO 

U2 


OhJIAl 1 ^A ^ITICO AO 

oMALL GA CITIco 02 


A "TO"? 

0.787 


A TOO 

0. /88 


A 7CQ 

0./69 


n-t nAn 
U104U 


AO 

03 


ORJIAI 1 ^A ^ITIf^^ AO 

SMALL GA CITIES 03 


0.737 


A "70 

0.738 


A "7*4 A 

0.719 


n4 4 OA 


A-l 

01 


LJAIAIA II //^ 1 1 A K J 

HA WAI I/GUAM 


A TO C 

1 .785 


A TOT 

1 .787 


A OCO 

1 .268 


nc^ OA 

05130 


12 


NORTH IDAHO 


0.733 


f\ T'i 

0.733 


A Q AG 

0.846 


ACH OA 

05130 


11 


SOUTH IDAHO 


0.769 


0.770 


A OAO 

0.893 


00621 


10 


I A R Mr% A 1 Ik 1 II n ALIA II 

CHAMPAIGN-URBANA, IL 


0.809 


0.810 


A 000 

0.823 


00d21 


16 


CHICAGO, IL 


4 A TC 

1 .175 


'I -1 TT 

1 .177 


-f H AO 

1 .193 


AACO-I 

UUd21 


AO 

03 


ly A 1 D II 

DE KALB, IL 


0.754 


A ~7 CC 

0.755 


A OOA 
U.80U 


UUD21 


1 1 


r^C/^ATI ID II 

UbCATUR, IL 


0.694 


A CAC 


A QAC 

U.oUO 




■1 o 
12 


CAOT OT 1 /^l no II 

tAo i 1 . LUUlo, IL 


A 7Q>1 

U. /o4 


A 70C 

U. /oo 


U.OoZ 


UUO^ 1 


Aft 

Uo 


r\AlNf\AI\tt, IL 


A "77 C 


n 77ft 

u. / /o 


u.o 1 u 




UO 


INVJKIvlAL, IL 


!^ 7RQ 


n 77n 

U. / / u 


U.09 1 


UUD2 1 


A-l 

01 


NORTHWEST, IL 


A COA 

0.669 


A C7A 

0.670 


A 7C'1 

U. /51 


00o21 


AC 

05 


PEORIA, IL 


0.776 


A TTO 

0.7 '6 


A AAO 

0.992 


UUD21 


A7 

07 


QUINCY, IL 


0.624 


A COC 

0.625 


A 7C'I 

U. /51 


UUD^ 1 


nA 
U4 


Dt^r^i^ 101 AKir\ II 
KUUK loLANU, IL 


A C7Q 


A CPA 

U.DOU 


U.oOO 


UUD21 


AO 

02 


ROCKFORD, IL 


0.887 


A 000 

0.888 


4 A-l -1 

1 .01 1 


UU021 


13 


SOUTHEAST IL 


0.584 


A COC 

0.585 


0. /51 


UU021 


■1 A 

14 


O/^l I^LJCDKI II 

SOUTHERN IL 


n C A A 

0.614 


A C H C 

0.615 


A 7C'1 

0. /51 


UU021 


AO 

09 


SPRINGFIELD, IL 


0.802 


A A*5 

0.803 


A OAA 

0.890 


UU021 


15 


1 mi 1 n n A k. 1 ^ 111 ^ a 1 1 

SUBURBAN CHICAGO, IL 


A ^ A ^ 

1.313 


1 .315 


A OH A 

1 .219 


UUOoU 


Ul 


RflCTDi^D/^l IT AM IKI 

Mb 1 KOrOLITAN IN 


A >i A 

0.840 


A >f H 

0.841 


A QCO 

U.o52 


00630 


03 


REST OF IN 


0.699 


0.699 


0.741 


00630 


02 


URBAN IN 


0.782 


0.783 


0.771 


00640 


05 


DES MOINES (POLK/WARREN). lA 


0.912 


0.913 


0.925 


00640 


03 


NORTH CENTRAL IOWA 


0.678 


0.679 


0.819 


00640 


02 


NORTHEAST IOWA 


0.732 


0.732 


0.830 


00640 


06 


NORTHWEST IOWA 


0.696 


0.697 


0.766 


00640 


04 


S CNTRL lA (EXCL. DES MOINES) 


0.706 


0.707 


0.743 


00640 


01 


SOUTHEAST IOWA 


0.771 


0.772 


0.852 


00640 


07 


SOUTHWEST IOWA 


0.718 


0.719 


0.780 


00740 


05 


KANSAS CITY, KANSAS 


0.827 


0.828 


0.885 


00650 


01 


REST OF KANSAS 


0.732 


0.733 


0.761 


00740 


04 


SUBURBAN KANSAS CITY, KANSAS 


0.827 


0.828 


0.885 


00660 


01 


LEXINGTON & LOUISVILLE, KY 


0.751 


0.752 


0.791 



A-II-24 



APPENDIX 11-3 



FINAL OFFICE RENTAL INDICES BY MEDICARE PAYMENT LOCALITY 
(sorted alphabetically by state and locality name within state) 



Reseated 

Carrier Locality 1996 Office 1996 Office 1992 Office 

Number Number Locality Name Rent Index Rent Index Rent Index 



00660 


03 


REST OF KENTUCKY 


0.581 


0.532 


0.695 


00660 


02 


SM CITIES (CITY LIMITS) KY 


0.670 


0.671 


0.735 


00528 


07 


ALEXANDRIA, LA 


0.697 


0.698 


0.738 


00528 


03 


BATON ROUGE, LA 


0.732 


0.733 


0.926 


00528 


06 


LAFAYETTE, LA 


0.633 


0.634 


0.843 


00528 


04 


LAKE CHARLES, LA 


0.727 


0.728 


0.732 


00528 


05 


MONROE, LA 


0.716 


0.717 


0.735 


00528 


01 


NEW ORLEANS, LA 


0.812 


0.813 


1.011 


00528 


50 


REST OF LA 


0.629 


0.630 


0.686 


00528 


02 


SHREVEPORT, LA 


0.725 


0.726 


0.837 


21200 


02 


CENTRAL MAINE 


0.845 


0.846 


0.854 


21200 


01 


NORTHERN MAINE 


0.814 


0.815 


0.883 


21200 


03 


SOUTHERN MAINE 


1.134 


1.135 


1.080 


00690 


01 


BALTIMORE/SURR. CNTYS, MD 


1.003 


1.005 


1.042 


00690 


03 


SOUTH & E. SHORE MD 


0.990 


0.991 


1.015 


00690 


02 


WESTERN MD 


0.842 


0.843 


1.004 


00700 


02 


MASS SUBURBS/RURAL CITIES 


1.185 


1.186 


1.272 


00700 


01 


URBAN MASS 


1.325 


1.327 


1.444 


00710 


01 


DETROIT, Ml 


1.032 


1.033 


1.053 


00710 


02 


MICHIGAN, NOT DETROIT 


0.813 


0.814 


0.843 


00720 


00 


MINNESOTA (BLUE SHIELD) 


0.888 


0.889 


0.937 


10240 


00 


MINNESOTA (TRAVELERS) 


0.888 


0.889 


0.937 


10250 


01 


REST OF MISSISSIPPI 


0.612 


0.613 


0.646 


10250 


02 


URBAN MISSISSIPPI 

1 XU'/tl ^ 1 VI 1 ^^^^ 1 ^^^^ 1 1 1 1 


0.730 


0.731 


0.785 


00740 


03 


K C fJACKSON CNTY) MO 

1 X. ■ 1 1 "I \^ I'll 1 if 1*1 


0.827 


0.828 


0.885 


00740 


02 


N K C (CLAY/PLATTED MO 


0.827 


0.828 


0.885 


11260 


03 


REST OF MO 


0.606 


0.606 


0.668 


00740 


06 


RURAL NW COUNTIES, MO 


0.643 


0.644 


0.702 


11260 


02 


SM E. CITIES, MO 


0.623 


0.624 


0.649 


00740 


01 


ST JOSEPH, MO 


0.633 


0.634 


0.698 


11260 


01 


ST. LOUIS/LG E. CITIES, MO 


0.783 


0.784 


0.897 


00751 


01 


MONTANA 


0.713 


0.714 


0.847 


00655 


00 


NEBRASKA 


0.760 


0.761 


0.757 


01290 


03 


ELKO & ELY (CITIES), NV 


0.983 


0.984 


1.064 


01290 


01 


LAS VEGAS, ET AL. (CITIES). NV 


1.070 


1.071 


1.223 


01290 


02 


RENO, ET AL. (CITIES), NV 


1.062 


1.063 


1.427 


01290 


99 


REST OF NEVADA 


1.038 


1.040 


1.221 


00780 


40 


NEW HAMPSHIRE 


1.101 


1.102 


1.170 


00860 


02 


MIDDLE NJ 


1.437 


1.439 


1.248 


00860 


01 


NORTHERN NJ 


1.507 


1.509 


1.339 


00860 


03 


SOUTHERN NJ 


1.209 


1.210 


1.072 


01360 


05 


NEW MEXICO 


0.811 


0.812 


0.867 


00801 


01 


BUFFALO/SURR. CNTYS, NY 


0.834 


0.835 


0.842 


00803 


01 


MANHATTAN, NY 


1.829 


1.832 


1.578 


00801 


03 


N CENTRAL CITIES, NY 


0.916 


0.917 


0.887 



A-II-25 



APPENDIX 11-3 



FINAL OFFICE RENTAL INDICES BY MEDICARE PAYMENT LOCALITY 
(sorted alphabetically by state and locality name within state) 



Rescaled 

Carrier Locality 1996 Office 1996 Office 1992 Office 

Number Number Locality Name Rent Index Rent Index Rent Index 



UUoUo 


no 
U^ 


INTO oUdUKdo/LUNo I., NY 


1 Cl'7 
1 .00/ 


1 CIO 

1 .039 


1 CftC 

1 .ODD 


uOoOo 


no 

03 


rOUGHKPSIE/N NYC SUBURBS, NY 


A A A A 

1 .298 


H onn 

1 .299 


4 4 r\A 

1 .104 


14330 


04 


/^l ICCTKIO KIV/ 

QUccNS, NY 


1 .484 


A A OC 

1.485 


1.578 


UOoOl 


04 


DCOT /*NCr KIdAI V//^OL^ 

RcST Or NEW YORK 


A A 

0.864 


0.865 


A OCA 

0.862 


nnorn 
UUoU 1 




KOUnbo 1 trr/SURR. CNI YS, NY 


0."95 


0.996 


4 AAQ 

1 .008 


U3930 


nn 
UU 


InUK I n OAKULINA 


0.791 


n 7QO 

0. /92 


A 77*3 
\J.l 1 O 


UUozU 


ni 
U 1 


INUK 1 ri UAr\U 1 A 


u.byo 




A 77Q 

u. / /y 


IDODU 


nn 
UU 




n Q -1 o 
U.ol ^ 


n p 1 "3 
U.ol o 


n PI >i 
U.014 


U 1 O/U 


nn 
UU 


vJr\LAnUlvlA 


n 71 A 
U. /ID 


n Ti v 

U. / 1 / 


n 7QO 

u. / yy 


U 1 OOU 


no 

UZ 


tUocINc, 1 1 AL. (Ul 1 Itoj, vJK 


U.ooo 


n PRO 
U.ooy 


1 n*io 
1 .uoz 


U 1 OOU 


ni 
Ul 


rCJK 1 LAINU, 1 1 AL. (Ul 1 Ito;, UK 


n Qoo 


n Q01 

u.y^o 


1 nno 
1 .uuz 


ni ion 

U 1 OOU 


yy 


Kto 1 Ur UKb(jUlN 


n Qnn 
U.oUU 


n pni 
U.oUl 


n OQX 
u.yy** 


ni iQn 
U1 ooU 


Uo 


OAI CKH CT AI /^ITICO\ 

oALtM, tl AL. (CITIcS), UK 


0.834 


n poc 
U.o30 


u.yoo 


m ion 
Ul ooU 


•1 o 

12 


OIAI /^ITICC* //^ITV/ 1 IKJIITC»\ 

SW OR CITIES (CITY LIMITS) 


0.960 


n nco 


1 non 
1 .U^U 


UUODD 


no 
02 


LG PA CITIcS 


0.997 


n OOP 

u.yyo 


n OAP 
U.yoo 


UUoOO 


01 


rnlLLY/PITT MED SrICLS/rlOSPS, PA 


n non 
0.989 


n Qon 

u.yyu 


n qp(n 
U.yoo 


nnpcc 
UUODO 


04 


REST OF PA 


f\ ~T AO 

0.748 


0./48 


n P'37 
U.o3/ 


uOoob 


03 


SM PA CITIES 


0.801 


A OA A 

0.802 


A OCT 

0.857 


00973 


20 


PUERTO RICO 


0.751 


A ~7 C A 

0.752 


A "707 
0. lOl 


o /-\ o "7 r\ 

00870 


A A 

01 


RHODE ISLAND 


1 .133 


1 .135 


4 ACO 

1 .058 


OOooO 


01 


^ 1 i^n 1 A 1 1 ^ 1 A 

SOUTH CAROLINA 


0.774 


0.775 


A "TOA 

0.720 


00820 


A A 

02 


SOUTH DAKOTA 


0.740 


0.741 


A T4 O 

0.718 


05440 


35 


TENNESSEE 


0.757 


0.758 


0.771 


rvAn AA 

00900 


29 


ABILENE, TX 


0.670 


0.671 


A O Af\ 

0.849 


00900 


AA 

26 


AMARILLO, TX 


0.697 


f\ AAA 

0.698 


A ~7"7 /~1 

0.779 


00900 


A A 

31 


AUSTIN, TX 


1.061 


<4 AAA 

1 .062 


A AOO 

0.988 


nnonn 
UU9UU 


on 
20 


BEAUMONT, TX 


A ~7 A T 

0.737 


A "70 O 

0.738 


n PQA 


UUsUU 


no 

uy 


BRAZORIA, TX 


0.957 


A ACP 

0.90O 


A PQO 

u.oyo 


nnonn 

UUsUU 


1 n 
1 U 


DD/^V A/KIO\ /1 1 1 C TV 

dKUWNSVILLE, TX 


O./bl 


n 7CO 


n 701^ 
u. / yo 


nnonn 


O/l 
id4 


r^/^DDI lO /^LJDIOTI TV 

L/UKHUo L/MKIo 1 1, lA 


n Qno 
U.oUo 


n pn^i 
U.OU4 


n 01 ft 
u.y 1 o 


nnonn 

UUsUU 


1 1 
1 1 


OAI 1 AO TV 

DALLAS, TX 


0.990 


0.991 


n pfti 
U.ooo 


nnonn 


1 o 


nCMTOM TV 

UtN 1 UN, 1 A 


1 nnc 
1 .UUO 


1 nn7 
1 .UU / 


u.ooo 


00900 


14 


EL PASO, TX 


0.819 


0.820 


0.783 


00900 


28 


FORT WORTH, TX 


0.924 


0.925 


0.863 


00900 


15 


GALVESTON, TX 


0.896 


0.898 


0.834 


00900 


16 


GRAYSON, TX 


0.730 


0.731 


0.776 


00900 


18 


HOUSTON, TX 


0.964 


0.965 


0.796 


00900 


33 


LAREDO, TX 


0.770 


0.771 


0.733 


00900 


17 


LONGVIEW, TX 


0.699 


0.700 


0.882 


00900 


21 


LUBBOCK, TX 


0.786 


0.787 


0.754 


00900 


19 


MC ALLEN. TX 


0.708 


0.709 


0.792 


00900 


23 


MIDLAND, TX 


0.736 


0.736 


1.016 


00900 


02 


NORTHEAST RURAL TX 


0.716 


0.717 


0.735 


00900 


13 


ODESSA, TX 


0.736 


0.736 


1.008 


00900 


25 


ORANGE, TX 


0.737 


0.738 


0.896 



A-II-26 



APPENDIX 11-3 



FINAL OFFICE RENTAL INDICES BY MEDICARE PAYMENT LOCALITY 
(sorted alphabetically by state and locality name within state) 



Rescaled 

Carrier Locality 1996 Office 1996 Office 1992 Office 

Number Number Locality Name Rent Index Rent Index Rent Index 



00900 


30 


SAN ANGELO, TX 


0.680 


0.681 


0.855 


00900 


07 


SAN ANTONIO, TX 


0.872 


0.873 


0.858 


00900 


03 


SOUTHEAST RURAL TX 


0.762 


0.763 


0.757 


00900 


06 


TEMPLE, TX 


0.742 


0.743 


0.773 


00900 


08 


TEXARKANA, TX 


0.727 


0.728 


0.716 


00900 


27 


TYLER, TX 


0.748 


0.749 


0.893 


00900 


32 


VICTORIA, TX 


0.708 


0.709 


1.090 


00900 


22 


WACO, TX 


0.779 


0.780 


0.717 


00900 


04 


WESTERN TX 


0.611 


0.612 


0.679 


00900 


34 


WICHITA FALLS, TX 


0.716 


0.717 


0.805 


00910 


09 


UTAH 


0.753 


0.754 


0.917 


00780 


50 


VERMONT 


0.996 


0.997 


0.965 


00973 


50 


VIRGIN ISLANDS 


1.089 


1.090 


1.000 


10490 


04 


REST OF VA 


0.693 


0.693 


0.756 


10490 


01 


RICHMOND & CHARLOTTESVILLE, VA 


0.928 


0.930 


0.898 


10490 


03 


SM TOWN/INDUSTRIAL VA 


0.788 


0.789 


0.763 


10490 


02 


TIDEWATER & N VA CNTYS 


C.984 


0.985 


1.031 


01390 


03 


E CNTRL & NE WA 


0.834 


0.835 


0.950 


01390 


02 


SEATTLE (KING CNTY), WA 


1.149 


1.151 


1.002 


01390 


01 


W & SE WA (EXCL SEATTLE) 


0.920 


0.921 


0.939 


16510 


16 


CHARLESTON, WV 


0.681 


0.681 


0.926 


16510 


18 


EASTERN VALLEY, WV 


0.726 


0.727 


0.707 


16510 


19 


OHIO RIVER VALLEY, WV 


0.621 


0.622 


0.718 


16510 


20 


SOUTHERN VALLEY, WV 


0.561 


0.562 


0.701 


16510 


17 


WHEELING, WV 


0.674 


0.675 


0.751 


00951 


13 


CENTRAL Wl 


0.643 


0.644 


0.723 


00951 


40 


GREEN BAY (NORTHEAST), Wl 


0.742 


0.743 


0.762 


00951 


54 


JANESVILLE (S CNTRL), Wl 


0.800 


0.801 


0.779 


00951 


19 


LA CROSSE (W CNTRL), Wl 


0.725 


0.726 


0.829 


00951 


15 


MADISON (DANE CNTY), Wl 


1.025 


1.026 


0.942 


00951 


46 


MILWAUKEE SUBURBS (SE), Wl 


0.963 


0.964 


0.921 


00951 


04 


MILWAUKEE, Wl 


0.906 


0.908 


0.929 


00951 


12 


NORTHWEST Wl 


0.633 


0.634 


0.746 


00951 


60 


OSHKOSH (E CNTRL), Wl 


0.732 


0.733 


0.767 


00951 


14 


SOUTHWEST Wl 


0.646 


0.647 


0.726 


00951 


36 


WAUSAU (N CNTRL), Wl 


0.707 


0.708 


0.746 


00825 


21 


WYOMING 


0.714 


0.714 


0.837 



A-II-27 



ens LIBRflRV 




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